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ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2001, Number 3

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Acta Ortop Mex 2001; 15 (3)

Neurotization of irreparable and late lesions of the branchial plexus

Arratia SA, Carrillo BCL, Zamudio VL

Language: Spanish
References: 16
Page: 109-115
PDF size: 112.31 Kb.


ABSTRACT

Objective. To determine the results of neurotization in ancient brachial plexus injuries by intercostal nerve grafting to the damaged trunks. Material and methods. A series of 13 patients (11 male and 2 female) aged 3 to 35 years, who had an ancient injury of the brachial plexus trunks and were classified in 2 groups: injury was pre-ganglionar in 2 cases (group I) and post-ganglionar in 11 (group II) is reported. Type A neural fibers of 6 intercostal nerves and sural nerve were transplanted into one or two primary trunks and sutured by 8 or 9-0 nylon. A Velpeau bandage was applied for 3 weeks. Results. After 18 months of follow-up, and a rehabilitation program, gross sensitivity was progressively recovered. Better results were observed in group II patients. Conclusion. Functional improvement can be expected in those patients who have post-ganglionar injuries of the brachial plexus by neurotization of primary trunks.


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