Bipolar latissimus transfer for restoration of elbow flexion

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چکیده

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Triceps to biceps transfer for restoration of elbow flexion following upper brachial plexus injury

INTRODUCTION Upper brachial plexus injury in adults causes loss of elbow fl exion; when the primary nerve surgery has failed or the patient seeks treatment after 12 months of injury and pedicled muscle transfers are required. Most commonly, the latissimus dorsi or the Steindler flexorplasty is used. MATERIAL AND METHODS We have transferred one of the heads of triceps muscle to restore the elb...

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Pectoralis major transfer for paralysis of elbow flexion in children.

Seven pectoralis major transfers in children suffering from bilateral paralysis of elbow flexion due to arthrogryposis or to trauma are reported. A technique is described in which the muscle is mobilised from the clavicle to allow the tendon of insertion to be attached to the biceps tendon at the elbow. The biceps tendon was found to be present and could be mobilised forwards in all the arthrog...

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Bipolar latissimus dorsi flap transfer for reconstruction of the deltoid.

Four patients with complete paralysis of the deltoid muscle with irrepairable axillary nerve lesion and one with traumatic destruction of the shoulder cap were treated with a bipolar latissimus dorsi muscle transfer. The latissimus dorsi muscle was prepared as an island flap, turned over and sutured to the trapezius proximally and to the original deltoid insertion on the humerus distally. Funct...

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Nerve Grafting vs. Common Infraclavicular Intraplexal Nerve Transfer in Elbow Flexion Restoration.

AIM The aim of this study is to compare the results of nerve grafting vs. common infraclavicular intraplexal nerve transfer in elbow flexion restoration. MATERIAL AND METHODS The study included 39 patients with upper brachial plexus palsy who were operated using common intraplexal nerve transfer (Oberlin procedure) and the thoracodorsal and medial pectoral nerve transfer to the musculocutaneo...

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Restoration of shoulder function and elbow flexion by nerve transfer for poliomyelitis-like paralysis caused by enterovirus 71 infection.

We report the case of an eight-month-old girl who presented with a poliomyelitis-like paralysis in her left upper limb caused by enterovirus 71 infection. She recovered useful function after nerve transfers performed six months after the onset of paralysis. Early neurotisation can be used successfully in the treatment of poliomyelitis-like paralysis in children.

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ژورنال

عنوان ژورنال: Journal of Orthopaedics

سال: 2013

ISSN: 0972-978X

DOI: 10.1016/j.jor.2013.06.004