Why the study?
Does a delayed approach of primary surgical reconstruction improve quality of life compared to early surgery in infants with neonatal brachial plexus palsy?
Does a delayed approach of primary surgical reconstruction improve quality of life compared to early surgery in infants with neonatal brachial plexus palsy?
Delayed surgical repair for neonatal brachial plexus palsy may be preferable to early surgery to allow for spontaneous recovery and optimize quality of life.
May support delayed reconstruction to allow spontaneous recovery; leaves open prospective validation in neonatal brachial plexus palsy.
These data support a delayed approach of primary surgical reconstruction to optimize quality of life. Early surgery for NBPPs may be an overly aggressive strategy for infants who would otherwise demonstrate spontaneous recovery of function by 12 months. A randomized, controlled trial would be necessary to fully elucidate the natural history of NBPP and determine the optimal time point for surgical intervention.
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Ali et al. (2014) studied this question.
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