Journal of Hand Surgery. Vol.21, No.3 (1996), 387-390
Suggested Citation
P. Songcharoen, B. Mahaisavariya, C. Chotigavanich Spinal accessory neurotization for restoration of elbow flexion in avulsion injuries of the brachial plexus. Journal of Hand Surgery. Vol.21, No.3 (1996), 387-390. doi:10.1016/S0363-5023(96)80349-2 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/17780
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Spinal accessory neurotization for restoration of elbow flexion in avulsion injuries of the brachial plexus
Traumatic root avulsion brachial plexus injuries in 216 patients were treated with spinal accessory-musculocutaneous neurotization to restore elbow flexion. The average postoperative follow-up period was 6 years, with a minimum of 2 years for all patients. The percentage of satisfactory biceps recovery (MRC III or better) was 72.5%. The average interval between the operation and MRC III motor recovery was 17 months. The percentage of poor results increased from 25.5% to 62.5% in patients who underwent operation later than 9 months after injury. This method of neurotization produces a result comparable with, if not better than, the results of other types of neurotization in restoration of elbow flexion.
