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Oberlin's Transfer: Long Term Outcomes.

Karlis Verdins1, Martins Kapickis2

  • 1* Centre of Plastic and Reconstructive Microsurgery of Latvia, Latvia.

The Journal of Hand Surgery Asian-Pacific Volume
|May 9, 2018
PubMed
Summary
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The Oberlin transfer effectively restores elbow flexion in young adults with brachial plexus injuries. This surgical technique offers good functional recovery and improves quality of life for patients with road traffic accident-related nerve damage.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Trauma Surgery

Background:

  • Brachial plexus injuries commonly result from road traffic accidents, significantly impacting young adults.
  • These injuries lead to substantial disability and reduced quality of life.
  • The Oberlin technique is a surgical option for upper plexus injuries, aiming to restore elbow flexion.

Purpose of the Study:

  • To evaluate the functional outcomes of the Oberlin transfer for upper brachial plexus injuries.
  • To assess patient satisfaction and functional recovery following the Oberlin procedure.

Main Methods:

  • Retrospective review of patients undergoing Oberlin transfer for upper plexus injury (March 2007 - July 2012).
  • Outcomes assessed using Medical Research Council (MRC) power grading for biceps, Disabilities of the Arm, Shoulder and Hand (DASH) score, and Visual Analogue Scale (VAS).
Keywords:
Nerve transferOberlinUlnar nerve

Related Experiment Videos

  • Minimum follow-up of 12 months post-operatively.

    • Main Results:

    • Ten patients showed improved biceps function (MRC grade 4/5 or 5/5) for elbow flexion.
    • Average DASH score was 27.25, indicating moderate functional disability.
    • Seven out of ten patients returned to daily work without significant discomfort or functional limitations.

    Conclusions:

    • The Oberlin transfer serves as a valuable salvage procedure for upper brachial plexus injuries.
    • Optimal results are observed in younger patients with a shorter interval between injury and surgical intervention.
    • The technique demonstrates potential for restoring crucial upper limb function and improving patient outcomes.