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[Trapezius transfer in deltoid paralysis]

O Rühmann1, C J Wirth, F Gossé

  • 1Orthopädische Klinik, Medizinische Hochschule Hannover.

Der Orthopade
|July 1, 1997
PubMed
Summary

Trapezius transfer surgery effectively restores shoulder function in patients with brachial plexus palsy. This muscle transfer procedure significantly improves active abduction and forward flexion, leading to high patient satisfaction.

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Trapezius transfer in deltoid paralysis.

Der Orthopade·2017

Area of Science:

  • Orthopedic Surgery
  • Neurosurgery
  • Rehabilitation Medicine

Context:

  • Brachial plexus palsy often results from traumatic injuries like bike accidents.
  • Conventional treatments such as physiotherapy and nerve repair may not yield desired outcomes.
  • Muscle transfer operations offer a viable alternative for functional restoration.

Purpose:

  • To present the results of a favored trapezius muscle transfer technique.
  • To evaluate the effectiveness of trapezius transfer in compensating for deltoid muscle paralysis.
  • To assess functional and subjective outcomes in patients with brachial plexus palsy.

Summary:

  • Thirty-one patients underwent a modified Saha technique for trapezius transfer to treat flail shoulder.
  • The procedure involves transferring the trapezius muscle to the humerus, with postoperative immobilization and physiotherapy.
  • Preoperative radiological, clinical, and electromyographic examinations guided the surgical approach.

Impact:

  • The study achieved an average increase in active abduction from 7.3 to 39.2 degrees and forward flexion from 20 to 43 degrees one year post-surgery.
  • Preoperative humeral head subluxation was abolished in all cases.
  • All patients reported satisfaction with improved shoulder stability and function, indicating a satisfactory outcome.

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