10-year Follow-up of Mod Quad and Triangle Tilt Surgeries in Obstetric Brachial Plexus Injury

Aim:. To evaluate whether obstetric brachial plexus injury (OBPI) children who had mod Quad and triangle tilt surgeries maintained their recovered upper extremity functional movements over 10 years. Background:. The short-term outcomes of surgery in OBPI patients are well documented. However, only a...

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Main Authors: Rahul K. Nath, MD, Chandra Somasundaram, PhD
Format: Article
Language:English
Published: Wolters Kluwer 2019-01-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001998
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spelling doaj-7c5f214920bb4be49aab0e2c4bf7bff62020-11-24T22:19:28ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742019-01-0171e199810.1097/GOX.0000000000001998201901000-0001610-year Follow-up of Mod Quad and Triangle Tilt Surgeries in Obstetric Brachial Plexus InjuryRahul K. Nath, MD0Chandra Somasundaram, PhD1From the Texas Nerve and Paralysis Institute, Houston, Tex.From the Texas Nerve and Paralysis Institute, Houston, Tex.Aim:. To evaluate whether obstetric brachial plexus injury (OBPI) children who had mod Quad and triangle tilt surgeries maintained their recovered upper extremity functional movements over 10 years. Background:. The short-term outcomes of surgery in OBPI patients are well documented. However, only a few publications with results over 10-year postoperative follow-up exist. We have previously reported the outcomes of these 2 surgeries in OBPI after 1, 2, and 5 years. Here, we report the successful outcomes in 17 of these patients over 10 years. Methods:. Seventeen OBPI patients, who had mod Quad, a modified muscle release operation and triangle tilt, a bony surgical procedure with us between 2005 and 2008, had postoperative follow-up of 10 years and met the inclusion criteria. Patients who had multiple surgeries and did not have 10-year follow-up are excluded in this study. Results:. Fifteen of 17 children maintain their recovered upper extremity functions for extended long period (mean, 10 years; range, 9–13 years). There was statistically significant improvement in total functional Mallet score after 3 years (mean, 18.8 ± 2.1; P ≤ 0.01) from the preoperative mean total Mallet score of 14.5 ± 1.2. This improvement was not only maintained for extended period but also improved (mean total Mallet score, 20.35 ± 2.3; P ≤ 0.01) in some patients. Conclusions:. Overall, all upper extremity functions improved greatly after mod Quad and triangle tilt surgeries in OBPI children, and they were able to maintain their recovered functional movements over extended period of 10 years.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001998
collection DOAJ
language English
format Article
sources DOAJ
author Rahul K. Nath, MD
Chandra Somasundaram, PhD
spellingShingle Rahul K. Nath, MD
Chandra Somasundaram, PhD
10-year Follow-up of Mod Quad and Triangle Tilt Surgeries in Obstetric Brachial Plexus Injury
Plastic and Reconstructive Surgery, Global Open
author_facet Rahul K. Nath, MD
Chandra Somasundaram, PhD
author_sort Rahul K. Nath, MD
title 10-year Follow-up of Mod Quad and Triangle Tilt Surgeries in Obstetric Brachial Plexus Injury
title_short 10-year Follow-up of Mod Quad and Triangle Tilt Surgeries in Obstetric Brachial Plexus Injury
title_full 10-year Follow-up of Mod Quad and Triangle Tilt Surgeries in Obstetric Brachial Plexus Injury
title_fullStr 10-year Follow-up of Mod Quad and Triangle Tilt Surgeries in Obstetric Brachial Plexus Injury
title_full_unstemmed 10-year Follow-up of Mod Quad and Triangle Tilt Surgeries in Obstetric Brachial Plexus Injury
title_sort 10-year follow-up of mod quad and triangle tilt surgeries in obstetric brachial plexus injury
publisher Wolters Kluwer
series Plastic and Reconstructive Surgery, Global Open
issn 2169-7574
publishDate 2019-01-01
description Aim:. To evaluate whether obstetric brachial plexus injury (OBPI) children who had mod Quad and triangle tilt surgeries maintained their recovered upper extremity functional movements over 10 years. Background:. The short-term outcomes of surgery in OBPI patients are well documented. However, only a few publications with results over 10-year postoperative follow-up exist. We have previously reported the outcomes of these 2 surgeries in OBPI after 1, 2, and 5 years. Here, we report the successful outcomes in 17 of these patients over 10 years. Methods:. Seventeen OBPI patients, who had mod Quad, a modified muscle release operation and triangle tilt, a bony surgical procedure with us between 2005 and 2008, had postoperative follow-up of 10 years and met the inclusion criteria. Patients who had multiple surgeries and did not have 10-year follow-up are excluded in this study. Results:. Fifteen of 17 children maintain their recovered upper extremity functions for extended long period (mean, 10 years; range, 9–13 years). There was statistically significant improvement in total functional Mallet score after 3 years (mean, 18.8 ± 2.1; P ≤ 0.01) from the preoperative mean total Mallet score of 14.5 ± 1.2. This improvement was not only maintained for extended period but also improved (mean total Mallet score, 20.35 ± 2.3; P ≤ 0.01) in some patients. Conclusions:. Overall, all upper extremity functions improved greatly after mod Quad and triangle tilt surgeries in OBPI children, and they were able to maintain their recovered functional movements over extended period of 10 years.
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001998
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AT chandrasomasundaramphd 10yearfollowupofmodquadandtriangletiltsurgeriesinobstetricbrachialplexusinjury
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