1. Elbow flexion reconstruction with nerve transfer or grafting in patients with brachial plexus injuries: A systematic review and comparison study
- Author
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Cesar G. Fontecha, Jayme Augusto Bertelli, Gürsel Leblebicioğlu, Egemen Ayhan, and Francisco Soldado
- Subjects
Nerve grafting ,medicine.medical_specialty ,Palsy ,business.industry ,030230 surgery ,Neurosurgical Procedures ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,030220 oncology & carcinogenesis ,Nerve Transfer ,Elbow Joint ,Comparison study ,Humans ,Medicine ,Brachial Plexus ,In patient ,Range of Motion, Articular ,Brachial Plexus Neuropathies ,business ,Elbow flexion ,Range of motion ,Brachial plexus - Abstract
INTRODUCTION Posttraumatic brachial plexus (BP) palsy was used to be treated by reconstruction with nerve grafts. For the last two decades, nerve transfers have gained popularity and believed to be more effective than nerve grafting. The aim of this systematic review was to compare elbow flexion restoration with nerve transfers or nerve grafting after traumatic BP injury. METHODS PRISMA-IPD structure was used for 52 studies included. Patients were allocated as C5-C6 (n = 285), C5-C6-C7 (n = 150), and total BP injury (n = 245) groups. In each group, two treatment modalities were compared, and effects of age and preoperative interval were analyzed. RESULTS In C5-C6 injuries, 93.1% of nerve transfer patients achieved elbow flexion force ≥M3, which was significantly better when compared to 69.2% of nerve graft patients (p more...
- Published
- 2019
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