TRANSFER OF BRACHIALIS MUSCLE TO TRICEPS FOR RESTORATION OF ELBOW EXTENSION IN PATIENTS WITH OBSTETRIC PALSY SEQUELAE

Objective: Elbow extension deficit following brachial plexus injuries can sometimes be overlooked. flexion is more prominent in the early stages of obstetric paralysis and used as an indication for nerve surgery. However, future deficits may become numerous. Residual disabilities paralyses dynamically addressed by tendon transfers. In patients with paralysis, canonical donor muscles such deltoid or biceps insufficient restoration elbow extension. The brachialis muscle, because its deep secluded position, considered one recent options selection a these patient groups. this study, efficiency to triceps transfer both shoulder abduction was assessed. Materials Methods: Seven obstetrical palsy varying degrees sequelae around underwent procedure. All had previously undergone modified Hoffer Ranges motion joints were recorded before and after transfer. A minimum M3+ set prerequisite Results: improved from median -70° (interquertile range, IQR: 20º) -10° (IQR: 35º) follow-up (p<0.05). Shoulder 140° 5º) 170° 15º) power found diminished M4 (Q1: M3+, Q3: M5) M3 M3, M3+) Conclusions: Brachialis suitable alternative palliative surgery terms Loss within acceptable range.