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Trapezius transfer for deltoid paralysis

P P Kotwal1, R Mittal, R Malhotra

  • 1All India Institute of Medical Sciences, Ansari Nagar, New Delhi.

The Journal of Bone and Joint Surgery. British Volume
|February 14, 1998
PubMed
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Trapezius transfer surgery offers a viable solution for shoulder abduction paralysis resulting from brachial plexus injury or poliomyelitis. This review found that 60% of patients achieved good outcomes, demonstrating the procedure's effectiveness.

Area of Science:

  • Orthopedic Surgery
  • Reconstructive Surgery
  • Neuromuscular Disorders

Background:

  • Deltoid paralysis significantly impairs shoulder function.
  • Brachial plexus injuries and poliomyelitis are common causes of deltoid paralysis.
  • Restoring shoulder abduction is crucial for patient quality of life.

Purpose of the Study:

  • To evaluate the effectiveness of trapezius transfer surgery.
  • To assess functional outcomes in patients with deltoid paralysis.
  • To determine the procedure's impact on shoulder abduction power and subluxation.

Main Methods:

  • Review of 26 patients undergoing trapezius transfer.
  • Assessment of shoulder abduction strength post-surgery.
  • Evaluation of shoulder subluxation tendency.

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Main Results:

  • Good results were achieved in 16 patients (60%).
  • Five patients had fair outcomes, and five had poor outcomes.
  • The procedure demonstrated potential in salvaging abductor paralysis.

Conclusions:

  • Trapezius transfer is a reasonable surgical option for deltoid paralysis.
  • The procedure can restore shoulder abduction function.
  • Further studies may explore long-term outcomes and patient selection criteria.