Restoration of wrist extension by tendon transfer in cases of obstetrical brachial plexus palsy.
Sequelae from obstetrical brachial plexus palsy are sometimes severe even after early microsurgical repair. Tendon transfer may improve hand function but to date, there is no large series that has been published on the results. Fifty-six children with obstetrical brachial plexus palsies were operated on for lack of wrist extension. A functional assessment scale was developed. Postoperatively, 42.5% of patients achieved an active wrist extension, 32.5% a static wrist extension. The extent of paralysis seems to influence the results. Some tendon transfert seems to give better results. The age at the time of transfert has no influence on the out come.
Duclos
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L
Plastic Surgery Service, Maisonneuve-Rosemont Hospital, Montreai, Quebec, Canada.
Gilbert
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A
D001720:Birth Injuries / Q000150:complications*; D020516:Brachial Plexus Neuropathies / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007592:Joint Diseases / Q000209:etiology / Q000601:surgery; D008297:Male; D012189:Retrospective Studies; D014955:Wrist Joint / Q000601:surgery*