상완 신경총 손상후 견관절의 외전 및 주관절의 굴곡 재건을 위한 신경 이전

Neurotization for the Restoration of Shoulder Abduction & Elbow Flexion in Brachial Plexus Injury

  • 이광석 (고려대학교 의과대학 정형외과학교실) ;
  • 강기훈 (고려대학교 의과대학 정형외과학교실) ;
  • 한상원 (고려대학교 의과대학 정형외과학교실) ;
  • 이기홍 (고려대학교 의과대학 정형외과학교실)
  • Lee, Kwang-Suk (Department of Orthopaedic Surgery, College of Medicine, Korea University Hospital) ;
  • Kang, Ki-Hoon (Department of Orthopaedic Surgery, College of Medicine, Korea University Hospital) ;
  • Han, Sang-Won (Department of Orthopaedic Surgery, College of Medicine, Korea University Hospital) ;
  • Lee, Ki-Hong (Department of Orthopaedic Surgery, College of Medicine, Korea University Hospital)
  • 발행 : 1998.10.05

초록

We have performed the operations for the restoration of shoulder abduction and elbow flexion in 17 patients(20 cases of neurotization) of brachial plexus injury at the Department of Orthopaedic Surgery, Korea University Hospital from October 1991 to May 1997. The mean follow-up period was 42 months. After neurotization for brachial plexus injury, functional recovery of shoulder abduction and elbow flexion were good and fair in 65%. In the functional evaluation, the clinical results of whole arm type were poorer than those of upper arm type, and the operations performed within 6 months since the injury were better than those of other cases.

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