MUSCLE TRANSFER FROM TRICEPS TO BICEPS IN PATIENTS WITH CHRONIC INJURY OF THE UPPER TRUNK OF THE BRACHIAL PLEXUS.
作者信息
Souza Fabiano Inúcio de, Saito Mateus, Kimura Luiz Koiti, Júnior Rames Mattar, Zumiotti Arnaldo Valdir
机构信息
PhD student and MSc in Medicine from the Institute of Orthopedics and Traumatology, Hospital das Clínicas, University of Sao Paulo School of Medicine.
Attending Physicians in the Hand and Microsurgery Group, Institute of Orthopedics and Traumatology, Hospital das Clínicas, University of Sao Paulo School of Medicine.
出版信息
Rev Bras Ortop. 2015 Nov 17;45(4):409-12. doi: 10.1016/S2255-4971(15)30389-X. eCollection 2010 Jul-Aug.
OBJECTIVE
To evaluate the results from transposition of the triceps for elbow flexion in patients with chronic and complete injury to the upper trunk of the brachial plexus.
METHODS
This was a retrospective study, including only patients who had biceps grade 0 and triceps grade 5, who underwent anterior transfer of the triceps muscle, performed between 1998 and 2005. The affected side, sex, type of accident, strength of elbow flexion, complications and patient satisfaction were investigated in 11 cases.
RESULTS
10 patients were male; the age range was from 24 to 49 years, with a mean of 33.7 years. The minimum time between injury and surgery was 21 months (range 21-74 months). The left side was affected in eight cases, and the right only in three. Good results were obtained in 10 patients, who acquired elbow flexion strength of grade 3 (two cases) and grade 4 (eight cases), while one evolved unfavorably with grade 2 strength. Two cases had complications (initial compartment syndrome and insufficient tensioning). All the patients said that they were satisfied with the procedure.
CONCLUSION
Anterior transposition of the triceps muscle provided patient satisfaction in all cases except one, attaining strength grade 4 in eight cases, grade 3 in two cases and grade 2 in one case.
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