Neurotization of the axillary nerve using a motor branch of the triceps brachii: Outcomes after a 3-to-15-year follow-up - 13/05/25
, Thibault Druel a, Thomas Jalaguier a, Arthémon Heitz a, Victor Rutka a, Laurent Mathieu a, b, Aram Gazarian a, c, Arnaud Walch aCet article a été publié dans un numéro de la revue, cliquez ici pour y accéder
Abstract |
Purpose |
Axillary nerve neurotization using a motor branch of the triceps brachii has become a therapeutic option in the management of deltoid paralysis. The purpose of this study was to report the medium to long-term outcomes of this procedure.
Material and methods |
Twenty patients with a median age of 31 years (interquartile range – IQR, 29–53) were included in a single-operator retrospective study. A clinical evaluation was conducted, including the assessment of deltoid muscle strength using the British Medical Research Council grading system and a dynamometer with comparisons made between preoperative and postoperative outcomes.
Results |
The median follow-up period was 6 years (IQR, 5–11). At last follow-up, the median active abduction was 160° (IQR 60–160), and 85% of patients recovered at least M3 abduction force. No donor site deficits were identified.
Discussion |
The medium to long-term outcomes of the neurotization of a triceps brachii motor branch on the axillary nerve are comparable to the short-term outcomes.
Level of evidence |
IV.
Le texte complet de cet article est disponible en PDF.Keywords : Axillary nerve, Deltoid paralysis, Nerve transfer, Neurotization
Plan
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