Does technical components of microanastomoses influence the functional outcome of free gracilis muscle transfer for elbow flexion in traumatic brachial plexus injury?

2021 ◽  
pp. 102827
Author(s):  
Francisco Vilmar Felix Martins-Filho ◽  
Fernanda do Carmo Iwase ◽  
Gustavo Bersani Silva ◽  
Alvaro Baik Cho ◽  
Teng Hsiang Wei ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Functional Outcome ◽  
Brachial Plexus Injury ◽  
Elbow Flexion ◽  
Gracilis Muscle ◽  
Muscle Transfer

Donor nerve sources in free functional gracilis muscle transfer for elbow flexion in adult brachial plexus injury

Microsurgery ◽  
2016 ◽  
Vol 37 (5) ◽  
pp. 377-382 ◽  
Author(s):  
Michael C. Nicoson ◽  
Michael J. Franco ◽  
Thomas H. Tung
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Elbow Flexion ◽  
Gracilis Muscle ◽  
Muscle Transfer

Bilateral Elbow Flexion Reconstruction with Functioning Free Muscle Transfer for Obstetric Brachial Plexus Palsy

2002 ◽  
Vol 27 (5) ◽  
pp. 484-486 ◽  
Author(s):  
A. S. BALIARSING ◽  
K. DOI ◽  
Y. HATTORI
Keyword(s):  
Brachial Plexus ◽  
Elbow Flexion ◽  
Gracilis Muscle ◽  
Brachial Plexus Palsy ◽  
Muscle Transfer ◽  
Nerve Roots ◽  
Obstetric Brachial Plexus Palsy ◽  
Shoulder Joints ◽  
Muscle Transfers ◽  
Obstetric Brachial Plexus

A child suffered a bilateral obstetric brachial plexus palsy involving the C5 and C6 nerve roots. Abduction of the shoulder joints had recovered by 1 year, but elbow flexion did not recover on either side. Free gracilis muscle transfers were performed on both sides, at an interval of 6 months, to achieve elbow flexion. The spinal accessory nerve was used as the donor nerve.

Which Nerve to Use? Comparison Between Donor Nerves to Motorize the Free Functional Gracilis Muscle Transfer for Elbow Flexion in Traumatic Brachial Plexus Injuries

2016 ◽  
Vol 41 (9) ◽  
pp. S15-S16 ◽  
Author(s):  
Gustavo Bersani Silva ◽  
Jairo A. Alves ◽  
Marina J. Pisani ◽  
Raquel I. da Costa ◽  
Marcelo R. Rezende ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Elbow Flexion ◽  
Gracilis Muscle ◽  
Muscle Transfer

scholarly journals Double free gracilis muscle transfer after complete brachial plexus injury: First Canadian experience

2014 ◽  
Vol 22 (1) ◽  
pp. 26-29 ◽  
Author(s):  
Kate Elzinga ◽  
Kevin J Zuo ◽  
Jaret L Olson ◽  
Michael Morhart ◽  
Sasha Babicki ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Gracilis Muscle ◽  
Muscle Transfer ◽  
Canadian Experience

scholarly journals GRACILIS MUSCLE TRANSFER TO ELBOW FLEXION IN BRACHIAL PLEXUS INJURIES

2020 ◽  
Vol 28 (4) ◽  
pp. 165-167
Author(s):  
Gustavo Bersani Silva ◽  
Maurício Rodrigues Lima Neto ◽  
Alvaro Baik Cho ◽  
Raquel Bernardelli Iamaguchi ◽  
Marcelo Rosa de Resende ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Brachial Plexus ◽  
Nerve Transfer ◽  
Elbow Flexion ◽  
Patient Characteristics ◽  
Gracilis Muscle ◽  
Muscle Transfer ◽  
Level Of Evidence ◽  
Late Treatment ◽  
Functional Muscle Transfer

ABSTRACT Objective: Brachial plexus injury can lead to significant functional deficit for the patient. Elbow flexion restoration is a priority in surgical treatment. Free functional muscle transfer is an option for early or late treatment failure. This study evaluated patient characteristics and elbow flexion muscle strength after gracilis functioning muscle transfer. Methods: Medical records of 95 patients operated from 2003 to 2019 were analyzed and the following variables recorded: age, gender, nerve transfer used to motorize the gracilis muscle, time between trauma and surgery, age at surgery and elbow flexion strength after a minimum of 12 months following functioning muscle transfer. Results: 87 patients were included, averaging 30 years of age (17 to 57 years). Fifty-five achieved elbow flexion muscle strength ≥ M3 (55/87, 65%), with a mean follow-up of 37 months. The nerves used for activation of the transferred gracilis were: 45 spinal accessory, 10 intercostal, 8 median n. fascicles, 22 ulnar n. fascicles and 2 phrenic nerves. Conclusion: Functional muscle transfer is a viable surgical procedure for elbow flexion in chronic traumatic brachial plexus injuries in adults. Level of Evidence II, Retrospective study.

Comparison between donor nerves to motorize the free functional gracilis muscle transfer for elbow flexion: Retrospective study of 38 consecutive cases in traumatic adult brachial plexus injuries

Microsurgery ◽  
2019 ◽  
Vol 39 (5) ◽  
pp. 400-404 ◽  
Author(s):  
Alvaro B. Cho ◽  
Gustavo Bersani Silva ◽  
Marina J. Pisani ◽  
Jairo A. Alves ◽  
Raquel B. Iamaguchi ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Brachial Plexus ◽  
Elbow Flexion ◽  
Gracilis Muscle ◽  
Muscle Transfer

Restoration of elbow flexion after brachial plexus injury by free functional rectus femoris muscle transfer

2009 ◽  
Vol 62 (2) ◽  
pp. e1-e5 ◽  
Author(s):  
Gottfried Wechselberger ◽  
Heribert Hussl ◽  
Nina Strickner ◽  
Petra Pülzl ◽  
Thomas Schoeller
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Rectus Femoris ◽  
Elbow Flexion ◽  
Muscle Transfer ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

scholarly journals Which Nerve to Use? Comparison Between Donor Nerves to Motorize the Free Functional Gracilis Muscle Transfer for Elbow Flexion in Traumatic Brachial Plexus Injuries

Hand ◽  
2016 ◽  
Vol 11 (1_suppl) ◽  
pp. 73S-73S
Author(s):  
Alvaro Baik Cho ◽  
Marina Justi Pisani ◽  
Gustavo Bersani Silva ◽  
Raquel B. Iamaguchi da Costa ◽  
Luciano Ruiz Torres ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Elbow Flexion ◽  
Gracilis Muscle ◽  
Muscle Transfer

scholarly journals Double free gracilis muscle transfer after complete brachial plexus injury: First Canadian experience

2014 ◽  
Vol 21 (1) ◽  
Author(s):  
Kate Elzinga ◽  
Kevin J Zuo ◽  
Jaret L Olson ◽  
Michael Morhart ◽  
Sasha Babicki
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Gracilis Muscle ◽  
Muscle Transfer ◽  
Canadian Experience

scholarly journals FUNCTIONAL OUTCOME OF OBERLIN PROCEDURE

2019 ◽  
Vol 27 (6) ◽  
pp. 294-297
Author(s):  
Fernando Antonio Silva de Azevedo Filho ◽  
Yussef Ali Abdouni ◽  
Guilherme Ogawa ◽  
Cloud Kennedy Couto de Sá ◽  
Antonio Carlos da Costa ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Range Of Motion ◽  
Functional Outcome ◽  
Brachial Plexus Injury ◽  
Elbow Flexion ◽  
Level Of Evidence ◽  
Hand Grip ◽  
Strength Recovery ◽  
Active Range Of Motion ◽  
Grade 3

ABSTRACT Objective: To evaluate the functional outcome of patients with traumatic brachial plexus injury undergoing the Oberlin procedure. Methods: Eighteen patients were assessed, comprising 17 men (94.4%) and 1 woman (5.6%), mean age 29.5 years (range 17-46 years), with upper traumatic brachial plexus injury (C5-C6 and C5-C7). We assessed active range of motion of the elbow, elbow flexion muscle strength and hand-grip strength, and applied the DASH (Disabilities of the Arm, Shoulder and Hand) questionnaire. Results: Four patients (22.2%) did not achieve effective elbow flexion strength (BMRC Grade 3). Mean active range of motion was 100.2° (±45.6°), and we observed a mean percentage of strength recovery relative to the contralateral limb of 35.5% (0-66.3%). Elbow flexion (p = 0.0001) and hand-grip (p = 0.0001) strength levels were lower on the affected side. Conclusion: The surgical technique described by Oberlin for brachial plexus injuries proved effective for restoring elbow flexion and produced no functional sequelae in the hand. Bicep strength outcomes were better when surgery was performed within 12 months of injury. Level of evidence II, retrospective study.

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