Feasibility of the Oberlin Procedure in Late Presentation Cases of C5-C6 and C5-C7 Brachial Plexus Injuries in Adults

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorCHO, Alvaro B.
dc.contributor.authorFERREIRA, Carlos H. V.
dc.contributor.authorTOWATA, Fernando
dc.contributor.authorALMEIDA, Gabriel C.
dc.contributor.authorSORRENTI, Luiz
dc.contributor.authorKIYOHARA, Leandro Y.
dc.date.accessioned2024-02-15T14:57:15Z
dc.date.available2024-02-15T14:57:15Z
dc.date.issued2022
dc.description.abstractBackground: Oberlin et al presented a new technique for nerve transfer that completely changed the prognosis of patients with brachial plexus injury. Currently, most of the literature addresses cases submitted to early surgical intervention, before 12 months from injury, showing consistent good results. The aim of this study was to evaluate the feasibility of the Oberlin procedure in late presentation cases (>= 12 months), comparing the elbow flexion strength with patients operated earlier. Methods: We retrospectively reviewed 49 patients with partial brachial plexus injuries submitted to the Oberlin procedure. They were divided into 2 groups. Group A included 39 patients operated with <12 months of injury. The mean postoperative follow-up was 22.53 months. The interval from injury to surgery varied from 4 to 11 months (+/- 8.45 months). Group B included 10 patients with surgery >= 12 months after injury. The mean postoperative follow-up was 32 months. The interval from injury to surgery ranged from 12 to 19 months (+/- 15.4 months). Patients were evaluated monthly after surgery and the elbow flexion strength was measured using the British Medical Research Council scale. Results: In Group A, 24 patients presented with either good (M3) or excellent (M4) elbow flexion strength. In Group B, 9 patients presented with either good (M3) or excellent (M4) elbow flexion strength. A significant difference was not seen in the postoperative elbow flexion strength among the 2 groups. Conclusion: Biceps reinnervation with the Oberlin procedure is still feasible and should be attempted after more than 12 months of injury in partial brachial plexus injuries.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus
dc.identifier.citationHAND-AMERICAN ASSOCIATION FOR HAND SURGERY, v.17, n.2, p.214-218, 2022
dc.identifier.doi10.1177/1558944720918325
dc.identifier.eissn1558-9455
dc.identifier.issn1558-9447
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/58269
dc.language.isoeng
dc.publisherSAGE PUBLICATIONS INCeng
dc.relation.ispartofHand-American Association for Hand Surgery
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright SAGE PUBLICATIONS INCeng
dc.subjectbrachial plexuseng
dc.subjectnerveeng
dc.subjectdiagnosiseng
dc.subjectnerve reconstructioneng
dc.subjectnerve injuryeng
dc.subjectneurotizationeng
dc.subjectOberlineng
dc.subjectprocedureeng
dc.subject.otherulnar nerveeng
dc.subject.otherbiceps muscleeng
dc.subject.otherelbow flexioneng
dc.subject.otheravulsioneng
dc.subject.otherfascicleeng
dc.subject.otherrepaireng
dc.subject.otherparteng
dc.subject.wosOrthopedicseng
dc.subject.wosSurgeryeng
dc.titleFeasibility of the Oberlin Procedure in Late Presentation Cases of C5-C6 and C5-C7 Brachial Plexus Injuries in Adultseng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalFERREIRA, Carlos H. V.:Fac Med ABC, Hand Surg & Microsurg Grp, Santo Andre, Brazil; Fac Med ABC, Hand & Microsurg Dept, Santo Andre, Brazil
hcfmusp.author.externalTOWATA, Fernando:Fac Med ABC, Hand Surg & Microsurg Grp, Santo Andre, Brazil
hcfmusp.author.externalALMEIDA, Gabriel C.:Fac Med ABC, Hand Surg & Microsurg Grp, Santo Andre, Brazil
hcfmusp.citation.scopus3
hcfmusp.contributor.author-fmusphcALVARO BAIK CHO
hcfmusp.contributor.author-fmusphcLUIZ SORRENTI
hcfmusp.contributor.author-fmusphcLEANDRO YOSHINOBU KIYOHARA
hcfmusp.description.beginpage214
hcfmusp.description.endpage218
hcfmusp.description.issue2
hcfmusp.description.volume17
hcfmusp.origemWOS
hcfmusp.origem.pubmed32486925
hcfmusp.origem.scopus2-s2.0-85085964527
hcfmusp.origem.wosWOS:001125218700033
hcfmusp.publisher.cityTHOUSAND OAKSeng
hcfmusp.publisher.countryUSAeng
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hcfmusp.scopus.lastupdate2024-05-19
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relation.isAuthorOfPublication.latestForDiscovery1a8f8487-b802-4071-aba9-fc220049e8aa
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