简介:Brachialplexusinjuryisfrequentlyinducedbyinjuries,accidentsorbirthtrauma.Upperlimbfunctionmaybepartiallyortotallylostafterinjury,orleftpermanentlydisabled.Withthedevelopmentofvariousmedicaltechnologies,differenttypesofinterventionsareused,buttheireffectivenessiswideranging.Manyrepairmethodshavephasiccharacteristics,i.e.,repairsaredoneindifferentphases.Thisstudyexploredresearchprogressandhottopicmethodsforprotectionafterbrachialplexusinjury,byanalyzing1,797articlesconcerningtherepairofbrachialplexusinjuries,publishedbetween2004and2013andindexedbytheScienceCitationIndexdatabase.Resultsrevealedthattherearemanymethodsusedtorepairbrachialplexusinjury,andtheireffectsarevaried.Interventionmethodsincludenervetransfersurgery,electricalstimulation,celltransplantation,neurotrophicfactortherapyanddrugtreatment.Therapeuticmethodsinthisfieldchangeaccordingtothehottopicofresearch.
简介:Objective: Toreportamethodandremotetherapeuticeffectofearlynervetranspositionintreatmentofobstetricalbrachialplexuspalsy. Methods: FromMay1995toAugust1996,12patientswhohadnorecoveryofbiceps3monthsafterbirthweretreatedwithnervetransposition.Eighthadneuromaattheuppertrunkand4hadruptureoravulsionoftheuppertrunk.Mallettestwasusedtoevaluatetheresults. Results: Thefollow-upof40-52monthsshowedthatexcellentandgoodrecoveryinfunctionswasfoundin75%ofthepatientsandtheexcellentrateofphrenicnerveandaccessorynervetranspositionwas83.3%and66.7%respectively.Acompleterecoveryinshoulderandelbowjointfunctionwasin3patientsandMalletⅣwasin6patients. Conclusions: Satisfactoryoutcomecanbeobtainedbyusingearlynervetranspositionintreatingobstetricalbrachialplexus.Paralysis,obstetric;Peripheralnerves;Nervetransposition