title: [Recovery of elbow flexion in post-traumatic C5-C6 and C5-C6-C7 palsy: retrospective dual-center study comparing single and double nerve transfer].
abstract: Twenty-nine patients underwent single (n=15) or double (n=14) nerve transfer for post-traumatic elbow flexion palsy. Patients averaged 30.2 years, with a mean preoperative delay of six months and postoperative follow-up of 34.2 months. Sixty per cent of the single transfer patients recovered to BMRC grade M4 after an average of follow-up of 13.2 months. Eighty-five percent of double nerve transfer patients reached grade M4 after an average follow-up of 11 months. There were no significant differences between groups. Clinical assessment revealed motor or sensory deficit in seven cases, which did not cause any impairment. Patients with a C5-C6 injury had shorter recovery times and better strength in comparison with those with C5-C6-C7 injury. By restoring shoulder function, elbow flexion will be indirectly improved. This improvement can be partially attributed to the base of the arm being more stable.
authors.affiliation: Service de chirurgie plastique et reconstructrice de l'appareil locomoteur, centre chirurgical Emile-Gallé, CHU de Nancy, 54000 Nancy, France. Electronic address: pybarthel@gmail.com.
authors.forename: P-Y
authors.initials: PY
authors.lastname: Barthel
authors.affiliation: Service de chirurgie plastique et reconstructrice de l'appareil locomoteur, centre chirurgical Emile-Gallé, CHU de Nancy, 54000 Nancy, France.
authors.forename: S
authors.initials: S
authors.lastname: Barbary
authors.affiliation: Service de chirurgie plastique et reconstructrice de l'appareil locomoteur, centre chirurgical Emile-Gallé, CHU de Nancy, 54000 Nancy, France.
authors.forename: A
authors.initials: A
authors.lastname: Breton
authors.affiliation: Département de chirurgie orthopédique et de traumatologie, hôpital Purpan, CHU de Toulouse, place du Dr-Baylac, 31059 Toulouse cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Apredoaei
authors.affiliation: Service de chirurgie plastique et reconstructrice de l'appareil locomoteur, centre chirurgical Emile-Gallé, CHU de Nancy, 54000 Nancy, France.
authors.forename: F
authors.initials: F
authors.lastname: Dap
authors.affiliation: Département de chirurgie orthopédique et de traumatologie, hôpital Purpan, CHU de Toulouse, place du Dr-Baylac, 31059 Toulouse cedex, France.
authors.forename: P
authors.initials: P
authors.lastname: Mansat
authors.affiliation: Service de chirurgie plastique et reconstructrice de l'appareil locomoteur, centre chirurgical Emile-Gallé, CHU de Nancy, 54000 Nancy, France.
authors.forename: G
authors.initials: G
authors.lastname: Dautel
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003389:Cranial Nerve Diseases / Q000209:etiology / Q000601:surgery*; D004551:Elbow Joint / Q000294:innervation* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D053580:Muscle Strength; D016067:Nerve Transfer / Q000379:methods*; D016059:Range of Motion, Articular; D020127:Recovery of Function; D012189:Retrospective Studies; D055815:Young Adult; D000092464:Elbow Injuries
keywords: Brachial plexus; Elbow flexion; Flexion coude; Nerve transfer; Neurotisation; Neurotization; Paralysie post-traumatique; Plexus brachial; Post-traumatic palsy; Transfert nerveux