de Azevedo Fernando Antonio Silva, Santos William Zarza, de Oliveira Thomaz Gê, Abdouni Yussef Ali, da Costa Antonio Carlos, Fucs Patrícia Maria de Moraes Barros
Irmandade da Santa Casa de Misericórdia de Sao Paulo, Department of Orthopaedics and Traumatology, Sao Paulo, SP, Brazil.
Acta Ortop Bras. 2018;26(6):394-396. doi: 10.1590/1413-785220182606196665.
To determine the relationship between the functional outcome achieved following Oberlin transfer, the cognitive level of the patient, and the time elapsed between the trauma event and surgery.
Eighteen patients with a traumatic injury to the brachial plexus (C5-C6 and C5-C7) were evaluated. Seventeen (94.4%) patients were males and one (5.6%) was female, with a mean age of 29.5 years (range 17-46 years). We evaluated the active range of motion, elbow flexion strength, and Disabilities of the Arm, Shoulder and Hand (DASH) and determined the correlation between the procedural outcome and the patient's cognitive level, as assessed by the Mini-Mental State Exam (MMSE).
We found statistically significant correlations between the MMSE scale and strength recovery (84.4%, p<0.001), which was classified as excellent, and between the MMSE and British Medical Research Council (BMRC) scales (78.4%, p>0.001), which classified cognitive level as good.
We found a positive correlation between cognitive capacity and functional outcome of patients submitted to Oberlin surgery. The time elapsed between trauma and the surgical procedure showed an inversely proportional correlation with the strength of recovery.
确定奥伯林移位术后所取得的功能结果、患者的认知水平以及创伤事件与手术之间的时间间隔之间的关系。
对18例臂丛神经（C5 - C6和C5 - C7）创伤性损伤患者进行评估。17例（94.4%）为男性，1例（5.6%）为女性，平均年龄29.5岁（范围17 - 46岁）。我们评估了主动活动范围、肘屈曲力量以及上肢、肩部和手部功能障碍（DASH），并通过简易精神状态检查表（MMSE）评估确定了手术结果与患者认知水平之间的相关性。
我们发现MMSE量表与被归类为优秀的力量恢复之间存在统计学显著相关性（84.4%，p<0.001），以及MMSE与将认知水平归类为良好的英国医学研究委员会（BMRC）量表之间存在相关性（78.4%，p>0.001）。
我们发现接受奥伯林手术的患者的认知能力与功能结果之间存在正相关。创伤与手术之间的时间间隔与恢复力量呈反比关系。
