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Restauration de la flexion du coude dans les paralysies traumatiques C5-C6 et C5-C6-C7 - étude bicentrique retrospective comparant simple versus double neurotisation

BARTHEL PY; BARBARY S; BRETON A; APREDOAEI C; DAP F; MANSAT P; DAUTEL G
CHIR MAIN , 2014, vol. 33, n° 3, p. 211-218
Doc n°: 169633
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.main.2014.02.002
Descripteurs : DD56 - TRAITEMENTS - COUDE

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.
CI - Copyright (c) 2014. Published by Elsevier SAS.

Langue : FRANCAIS

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