caa a22 4500 60621562X CHVBK 20210128101059.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s00701-015-2347-2 doi (NATIONALLICENCE)springer-10.1007/s00701-015-2347-2 Results of nerve reconstructions in treatment of obstetrical brachial plexus injuries [Elektronische Daten] [Libor Mencl, Petr Waldauf, Pavel Haninec] Background: The aim of this study was to evaluate the results achieved using various surgical techniques in patients with partial and total obstetrical brachial plexus palsy. Methods: From 2000 to 2013, 33 patients with obstetrical brachial plexus injury underwent surgery. Twenty had follow-up periods greater than 24months and met the criteria for inclusion in the study. All patients were evaluated using the Active Movement Scale. Results: The outcomes of different nerve reconstructive procedures including nerve transfers, nerve grafting after neuroma resection and end-to-side neurorrhaphy are presented. The overall success rate in upper plexus birth injury was 80% in shoulder abduction, 50% in external rotation and 81.8% in elbow flexion with median follow-ups of 36months. Success rate in complete paralysis was 87% in finger and thumb flexion, 87% in shoulder abduction and 75 % in elbow flexion; the median follow-up was 46months. Useful reanimation of the hand was obtained in both patients who underwent end-to-side neurotization. Conclusion: Improved function can be obtained in infants with obstetrical brachial plexus injury with early surgical reconstruction. Springer-Verlag Wien, 2015 End-to-side neurorrhaphy nationallicence Nerve surgery nationallicence Neurotization nationallicence Obstetrical brachial plexus palsy nationallicence Root avulsion nationallicence Mencl Libor Department of Neurosurgery, 3rd Faculty of Medicine, Charles University, Faculty Hospital Královské Vinohrady, Prague, Czech Republic aut Waldauf Petr Department of Neurosurgery, 3rd Faculty of Medicine, Charles University, Faculty Hospital Královské Vinohrady, Prague, Czech Republic aut Haninec Pavel Department of Neurosurgery, 3rd Faculty of Medicine, Charles University, Faculty Hospital Královské Vinohrady, Prague, Czech Republic aut Acta Neurochirurgica Springer Vienna 157/4(2015-04-01), 673-680 0001-6268 157:4<673 2015 157 701 https://doi.org/10.1007/s00701-015-2347-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-015-2347-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mencl Libor Department of Neurosurgery, 3rd Faculty of Medicine, Charles University, Faculty Hospital Královské Vinohrady, Prague, Czech Republic aut NATIONALLICENCE 700 1- Waldauf Petr Department of Neurosurgery, 3rd Faculty of Medicine, Charles University, Faculty Hospital Královské Vinohrady, Prague, Czech Republic aut NATIONALLICENCE 700 1- Haninec Pavel Department of Neurosurgery, 3rd Faculty of Medicine, Charles University, Faculty Hospital Královské Vinohrady, Prague, Czech Republic aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/4(2015-04-01), 673-680 0001-6268 157:4<673 2015 157 701