Siqueira Mário Gilberto, Martins Roberto Sérgio, Heise Carlos Otto, Foroni Luciano
Universidade de São Paulo, Instituto de Psiquiatria, Divisão de Neurocirurgia Funcional, Grupo de Cirurgia do Nervo Periférico, São Paulo SP, Brasil.
Arq Neuropsiquiatr. 2017 Sep;75(9):667-670. doi: 10.1590/0004-282X20170096.
The treatment of complete post-traumatic brachial plexus palsy resulting in a flail shoulder and upper extremity remains a challenge to peripheral nerve surgeons. The option of upper limb amputation is controversial and scarcely discussed in the literature. We believe that elective amputation still has a role in the treatment of select cases. The pros and cons of the procedure should be intensely discussed with the patient by a multidisciplinary team. Better outcomes are usually achieved in active patients who strongly advocate for the procedure.
创伤后全臂丛神经麻痹导致连枷肩和上肢的治疗，仍然是周围神经外科医生面临的一项挑战。上肢截肢这一选择存在争议，且在文献中鲜有讨论。我们认为，选择性截肢在某些特定病例的治疗中仍可发挥作用。多学科团队应与患者深入讨论该手术的利弊。积极主动且强烈主张进行该手术的患者通常能取得更好的治疗效果。
