Why the study?
Does microsurgical reconstruction improve sensory and motor function at 5 years of age in children with obstetrical brachial plexus palsy compared to no operation?
Population
247 children with obstetrical brachial plexus palsy examined at 5 years of age, treated at Karolinska…
Comparison
Microsurgical nerve reconstruction vs No microsurgical reconstruction (non-operated)
Design
Cohort
Follow-up
5 years of age
Authors
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Observational data suggest no hand function benefit from early surgery; leaves open shoulder-specific advantages in C5-6 palsies and warrants RCTs.
Does microsurgical reconstruction improve sensory and motor function at 5 years of age in children with obstetrical brachial plexus palsy compared to no operation?
Microsurgical reconstruction for obstetrical brachial plexus palsy did not significantly improve hand function at 5 years compared to non-operative management, suggesting a benefit to waiting for late recovery rather than early surgery.
Strömbeck et al. (2000) studied this question.
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