Transclavicular approach for brachial plexus reconstruction.
Brachial plexus injuries requiring extensive exposure might benefit from a transclavicular approach. At a level 1 trauma center, 20 patients underwent surgical intervention for brachial plexus injuries, 10 via a transclavicular approach. For 5 patients, the transclavicular approach was accomplished through osteotomy with a technique presented herein, and for the other 5, through an established nonunion. All osteotomies and nonunions healed. No hardware-related complications occurred. We think that in the appropriate setting, a transclavicular approach facilitates exposure, decreases surgical time, and is associated with minimal risk.
R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, MD, USA.
Mary
M
Zadnik
W Andrew
WA
Eglseder
Vladimir B
VB
Shur
D000293:Adolescent; D000328:Adult; D001860:Bone Plates; D001917:Brachial Plexus / Q000293:injuries* / Q000601:surgery*; D002968:Clavicle / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*