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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Outcome of Oberlin II versus Intercostal Nerve to Musculocutaneous Nerve Transfer Procedure for Elbow Flexion in Adult Brachial Plexus Injury
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Outcome of Oberlin II versus Intercostal Nerve to Musculocutaneous Nerve Transfer Procedure for Elbow Flexion in Adult Brachial Plexus Injury

机译：Oberlin II的结果与肋骨神经对成人臂丛丛弯曲弯曲弯曲的肌肉皮神经转移程序

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In the management of brachial plexus injury restoration of elbow flexion has been prioritised over shoulder abduction in pan plexus injury due to scarcity of suitable donor nerve for nerve transfer procedure. Literature has shown promising result in restoring elbow flexion both in upper type as well as pan plexus injury by early intervention.Aim: To assess the outcomes of Oberlin II and intercostal nerve to musculocutaneous nerve transfer procedures to restore elbow flexion, in upper type and pan plexus type adult brachial plexus injury respectively.Materials and Methods: A prospective cohort study was conducted from November 2015 to October 2018 at tertiary care hospital at Cuttack, Odisha, India. Oberlin II procedure in 20 cases of upper type and intercostal nerve to musculocutaneous nerve transfer procedure in 20 cases of pan plexus type adult brachial plexus injury to restore elbow flexion, were included. In both the groups elbow flexion was assessed by British Medical Research Council (MRC) motor grading scale. Statistical analysis was made using IBM Statistical Package for the Social Sciences (SPSS) version 21.0, Pearsona€?s Chi-square test was used for the data analysis and p-value <0.05 was considered as significant.Results: The study had a total of 40 cases with age range from 19 to 58 years with mean age of 31.78?±11.07 years. Full range of elbow flexion against gravity i.e., M3 power was achieved in 17 out of 19 (89.5%) of cases in less than six months of denervation, seven out of eight (87.5%) of cases in six to nine months of denervation and five out of 13 (38.5%) of cases in more than nine to 12 months of denervation (p-value<0.006). In case of Oberlin II procedure full range of elbow flexion against gravity i.e., M3 power or more was achieved in 100% of cases, whereas in case of intercostal nerve transfer full range of elbow flexion against gravity i.e., M3 power only was achieved in 45% of cases and M0 power in 55% of cases (p-value<0.001).Conclusion: The study has concluded that in adult brachial plexus injury early intervention by Oberlin II nerve transfer procedures results in full range of elbow flexion against gravity i.e., M3 power or more was achieved in 100% of cases. In cases of pan plexus type injury full range of elbow flexion against gravity i.e., M3 power only was achieved in 45% of cases.
机译：在管理臂丛丛恢复的弯曲弯曲恢复，由于缺乏适合的施主网神经动脉，在PAN Plexus损伤中优先于肩膀绑架的优先考虑。文学表明，在早期干预中，既有上调和Pan Plexus伤害恢复肘部屈曲的有希望。 Plexus型成人臂丛神经损伤分别。材料与方法：2015年11月至2018年11月在印度杜莎，奥迪沙的第三节护理医院进行了一项未来的队列研究。 Oberlin II程序在20例中，在20例Pan Plexus型成人臂丛丛中恢复肘部屈曲的20例肌肤皮神经转移程序。在两组中，肘部屈曲由英国医学研究委员会（MRC）电机分级规模评估。使用IBM统计包进行统计分析，用于社会科学（SPSS）版本21.0，Pearsona€？S Chi-Square测试用于数据分析，P值<0.05被认为是显着的。结果：该研究总计40例年龄为19至58岁，平均年龄为31.78岁？±11.07岁。针对重力的全部肘部屈曲，即M3功率在19个（89.5％）的病例中，在不到六个月的低位的情况下，八个（87.5％）六到九个月的丧生和13个（38.5％）的案件中的五分之一以上至12个月的后果（p值<0.006）。在Oberlin II的情况下，在100％的情况下，在100％的情况下实现了针对重力的全系列弯头弯曲，而在100％的情况下，在肋间神经传递的情况下，针对重力的全系列肘部屈曲，即仅在45中实现M3功率。案例的％和55％的病例（p值<0.001）。结论：该研究得出结论，在成人的臂丛丛林中，Oberlin II神经转移程序的早期干预导致全系列的肘部屈曲，即，在100％的病例中实现了M3功率或更多。在Pan Plex型损伤的情况下，对重力的全系列肘部屈曲I.，仅在45％的情况下实现了M3功率。

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