Surgical Treatment of Brachial Plexus Injury

상완 신경총 손상의 수술적 치료

  • Lee, Kwang-Suk (Department of Orthopedic Surgery, Korea University Hospital) ;
  • Chae, In-Jeong (Department of Orthopedic Surgery, Korea University Hospital) ;
  • Woo, Kyung-Jo (Department of Orthopedic Surgery, Korea University Hospital) ;
  • Koo, Ja-Seong (Department of Orthopedic Surgery, Korea University Hospital)
  • 이광석 (고려대학교 의과대학 정형외과학교실) ;
  • 채인정 (고려대학교 의과대학 정형외과학교실) ;
  • 우경조 (고려대학교 의과대학 정형외과학교실) ;
  • 구장성 (고려대학교 의과대학 정형외과학교실)
  • Published : 1995.11.02

Abstract

The authors have reviewed 19 patients of brachial plexus injury who treated by operative methods at Department of Orthopedic Surgery, Korea University Hospital during the period from January 1989 to February 1994. All of these patients were followed up more than one year and following results were obtained. 1. The whole arm type injury was most common(7 of 19 patient) and supraclavicular lesion(15 of 19 patient) was more dominant than infraclavicular lesion(4 of 19 patients). 2. The neurorrhaphy, nurolysis, nerve grafting, and neurotization were performed for the primary neural surgery and secondary reconstructive procedure consist of musculotendinous transfer and free muscle transfer with neurotization. 3. The followed up period was from one year to four years and six months, average being two years and five months. 4. We have obtained satisfactory results in 12 patients among 19 patients.

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