Long term outcome of contralateral C7 transfer: a report of 32 cases / 中华医学杂志(英文版)
Chinese Medical Journal
; (24): 866-868, 2002.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-302286
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To observe long-term functional recovery after contralateral C7 transfer.</p><p><b>METHODS</b>From August 1986 to July 2000, 224 patients with brachial plexus avulsion injuries were treated with contralateral C7 transfer in our department. Thirty-two patients were followed up for over 2 years for evaluation of the following items 1 influence on healthy limb function; 2 sensory and motor recovery of the recipient nerves in the affected limb; and 3 coordination between the healthy and affected limbs.</p><p><b>RESULTS</b>There was no impairment of healthy limb function. Functional recovery of the recipient area reached > or =M3 in 8 patients (8/10, 80%) after musculocutaneous nerve neurotization, > or =M3 in 4 patients (4/6, 66%) after radial nerve neurotization, > or = M3 in 7 patients (7/14, 50%) and > or = M3 in 12 patients (85.7%) after median nerve neurotization, and > or = M3 in 1 patients (1/2, 50%) after thoracodorsal nerve neurotization. Synchronic contraction of the affected limb with the healthy limb occurred within 2-3 years in 12 patients, within 5 years in 13 patients, and over 5 years in 7 patients.</p><p><b>CONCLUSION</b>Contralateral C7 transfer is an ideal procedure for the treatment of brachial plexus root avulsion injury. Selection of the whole root or the posterior division as neurotizer and a staged operation are the major factors influencing treatment outcome.</p>
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
General Surgery
/
Wounds and Injuries
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Brachial Plexus
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Follow-Up Studies
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Nerve Transfer
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Methods
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Motor Activity
Type of study:
Observational study
/
Prognostic study
Limits:
Adolescent
/
Adult
/
Child
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Female
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Humans
/
Male
Language:
English
Journal:
Chinese Medical Journal
Year:
2002
Document type:
Article