[Secondary procedures in obstetric brachial plexus lesions].
Secondary surgery following obstetric brachial plexus palsy is usually performed between two and six years of age, but also later when the patient presents later. Surgery consists of contracture releases and transpositions of muscles and tendons. Indication for surgery must be assessed and discussed individually. Only a real functional improvement in ADL is a success. We describe usual techniques according to topography and present an overview of our results. This knowledge should influence all decisions about reconstructive surgery in these children.
Bahm
J
J
Bereich Plastische Wiederherstellungschirurgie am St. Franziskus Krankenhaus Aachen. jorg.bahm@belgacom.net
D001720:Birth Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D001917:Brachial Plexus / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D003286:Contracture / Q000601:surgery; D004550:Elbow / Q000294:innervation / Q000601:surgery; D004576:Electromyography; D005500:Follow-Up Studies; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D007223:Infant; D007231:Infant, Newborn; D007537:Isometric Contraction / Q000502:physiology; D008866:Microsurgery; D018482:Muscle, Skeletal / Q000294:innervation / Q000503:physiopathology / Q000637:transplantation; D016067:Nerve Transfer; D010291:Paresis / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D016059:Range of Motion, Articular / Q000502:physiology; D012086:Reoperation / Q000379:methods; D012782:Shoulder / Q000294:innervation / Q000601:surgery; D013709:Tendon Transfer / Q000379:methods; D036542:Tomography, Spiral Computed; D014953:Wrist / Q000294:innervation / Q000601:surgery