Download PDF
J Brachial Plex Peripher Nerve Inj 2007; 02(01): e105-e111
DOI: 10.1186/1749-7221-2-1
Methodology
Bahm et al; licensee BioMed Central Ltd.

Microsurgical technique in obstetric brachial plexus repair: a personal experience in 200 cases over 10 years[*]

Jörg Bahm
1   Euregio Reconstructive Microsurgery Unit, Franziskushospital Aachen, Germany
,
Claudia Ocampo-Pavez
1   Euregio Reconstructive Microsurgery Unit, Franziskushospital Aachen, Germany
,
Hassan Noaman
1   Euregio Reconstructive Microsurgery Unit, Franziskushospital Aachen, Germany
› Author Affiliations
Subject Editor:
Further Information

Publication History

10 October 2006

10 January 2007

Publication Date:
17 September 2014 (online)

Also available at
  Permissions and Reprints

Abstract

We present our personal operative technique in exposing and repairing obstetric brachial plexus (obp) lesions. This technical description of the operative procedure and the strategic choice for the neurotisations are analysed with special regards on the follow-up of these patients (always performed by the surgeon), the histological quality of the proximal root stumps used for cable grafting, and the general reconstruction principles established in international workshops.

We would like to encourage debate on these detailed considerations wherever they could affect the functional outcome.

*This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


 

  • References

  • 1 Bahm J, Becker M, Disselhorst-Klug C, Williams S, Meinecke L, Müller H, Sellhaus B, Schröder JM, Rau G. Surgical Strategy in Obstetric Brachial Plexus Palsy: The Aachen Experience. Seminars in Plastic Surgery 2004; 18: 285-299 10.1055/s-2004-837255
    Thieme ConnectPubMedSearch in Google Scholar
  • 2 Birch R, Bonney G, Wynn Parry CB. Surgical disorders of the peripheral nerves. Churchill Livingstone; Edinburgh: 1998
    Search in Google Scholar
  • 3 Birch R, Ahad N, Kono H, Smith S. Repair of obstetric brachial plexus palsy: Results in 100 children. J Bone Joint Surg 2005; 87B: 1089-1095
    PubMedSearch in Google Scholar
  • 4 Gilbert A. Long-term evaluation of brachial plexus surgery in obstetrical palsy. Hand Clinics 1995; 11 (4) 583-595 8567740
    PubMedSearch in Google Scholar
  • 5 Waters PM. Update on management of pediatric brachial plexus palsy. J Pediatric Orthopaedics B 2005; 14: 233-244
    PubMedSearch in Google Scholar
  • 6 Bisinella GL, Birch R, Smith SJM. Neurophysiological prediction of outcome in obstetric lesions of the brachial plexus. J Hand Surg 2003; 28B (02) 148-152
    PubMedSearch in Google Scholar
  • 7 Wolock B, Millesi H. Brachial Plexus – Applied anatomy and operative exposure. Gelberman RH. Operative nerve repair and reconstruction. Lippincott; Philadelphia: 1991
    Search in Google Scholar
  • 8 Bahm J, Wein B, Al Hares G, Dogan C, Radermacher K, Schuind F. Assessment and treatment of glenohumeral joint deformities in children suffering from upper obstetric brachial plexus palsy. J Ped Orthopaedics 2007;
    PubMedSearch in Google Scholar
  • 9 Clarke HM, Al-Qattan MM, Curtis CG, Zuker RM. Obstetrical brachial plexus palsy – Results following neurolysis of conducting neuromas-in-continuity. Plast Reconstr Surg 1996; 97: 974-984 8619001
    CrossrefPubMedSearch in Google Scholar