Impact of Early Brachial Plexus Surgery on Later Tendon Transfer Outcomes in Children
Author Information
Author(s): Aydın Atakan, Biçer Ahmet, Özkan Türker, Mersa Berkan, Özkan Safiye, Yıldırım Zeynep Hoşbay
Primary Institution: Istanbul University, Istanbul Faculty of Medicine
Hypothesis
Does primary brachial plexus surgery alter palliative tendon transfer surgery outcomes in children with obstetric paralysis?
Conclusion
The study found that satisfactory shoulder abduction can be achieved with tendon transfers regardless of previous neural surgery history.
Supporting Evidence
- The mean abduction values increased significantly across all groups after surgery.
- Postoperative external rotation angles showed significant differences in early surgery groups.
- Patients with total paralysis achieved satisfactory shoulder function regardless of previous surgery.
Takeaway
This study looked at kids who had surgery for arm problems at birth and found that later surgeries to help their shoulders can still work well, even if they had earlier surgery.
Methodology
Retrospective analysis of 91 patients who underwent tendon transfers for shoulder dysfunction.
Limitations
The study was retrospective, which may affect the confidence in the results and the optimization of cases.
Participant Demographics
Patients included children with obstetric paralysis, divided into four groups based on previous surgery and type of paralysis.
Statistical Information
P-Value
0.05
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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