Mohammad-Reda Ahmad
Plastic and Reconstructive Surgery Unit, Faculty of Medicine,
Egypt
Research Article
Bidirectional Double Muscle Transfer to Restore Shoulder Abduction and External Rotation in Late Obstetric Brachial Plexus Injuries
Author(s): Mohammad-Reda AhmadMohammad-Reda Ahmad
Background: Internal rotation contracture is the most frequent and important secondary deformity of the shoulder in birth palsy. Many techniques have been tried to solve this problem.
Aim: To improve shoulder abduction and external rotation in obstetric brachial plexus injuries (OBPIs) by performing an ordinary Single Muscle Transfer (SMT) or Bidirectional Muscle Transfer (BMT) around the shoulder.
Patients and methods: 40 patients: 21 male and 19 female their age ranged from 2 to10 years complaining of lake of shoulder abduction and external rotation due to OBPIs. They were divided into two groups according to the performed operation: group 1 (17 patients) operated with BMT and group 2 (23 patients) operated with SMT.
Results: There was significant postoperative improvement in shoulder abducti.. View More»
