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January 1, 2003Microsurgery

Surgical treatment of brachial plexus traction injuries in children, excluding obstetric palsy

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Why the study?

Does surgical treatment improve functional recovery in children with traumatic brachial plexus injuries?

Population

11 male children with traumatic brachial plexus injuries, average age 11 years.

Design

Case_series

Follow-up

at least 30 months

Authors

TETarek Abdalla El‐GammalUniversity of Florida HealthAEAmr El‐SayedAin Shams UniversityMKMohammed M. KotbAin Shams University

Discussion

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Implication

Supports neurotization for pediatric brachial plexus recovery; hypothesis-generating and should not yet change practice.

Structured PICO

Does surgical treatment improve functional recovery in children with traumatic brachial plexus injuries?

P
Population
11 male children with traumatic brachial plexus injuries (excluding birth palsy), average age 11 years (range 3-16 years).
I
Intervention
Surgical treatment including grafting (6 procedures) and extraplexal neurotization (25 procedures) using donor nerves (intercostal, phrenic, spinal accessory, contralateral C7 root).
O
Outcome
Functional recovery (elbow flexion, shoulder abduction, triceps, finger/wrist extensors and flexors).

Surgical reconstruction, particularly neurotization, is effective for restoring elbow and shoulder function in children with traumatic brachial plexus injuries, with faster recovery compared to adults.

Cite This Study

El‐Gammal et al. (2003) studied this question.

synapsesocial.com/papers/6a970e2fd565115f2b57807ehttps://doi.org/10.1002/micr.10084
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Restoration of Shoulder Abduction by Nerve Transfer in Avulsed Brachial Plexus Injury1995 · 214 citations
  2. 2Outcomes of Surgical Treatment of Brachial Plexus Injuries Using Nerve Grafting and Nerve Transfers2002 · 151 citations
  3. 3Thoughts on Neurotization or Nerve Transfers in Irreparable Nerve Lesions1984 · 167 citations