Early Versus Late Brachial Plexus Reconstruction in Brachial Plexus Birth Palsy
Mohamed Mostafa Kotb, MD
Orth, Hand and Recosntructive Microsurgery Unit, Orthopedic Deprtment, Assiut University Hospital, Assiut, Egypt
Introduction: Timing of surgical intervention for obstetric brachial plexus palsy is still a depadable issue for most microsurgeons. This study aims at ellucidating the results of surgical intervention before and after the age of one year.
Materials and Methods: From January 1998 to June 2006, 80 patients suffering from brachial plexus birth palsy were treated by surgical reconstruction of brachial plexus. Patients were evaluated for functional recovery by Toronto scale. Follow up period was 1-8 years. Results; Functional results were compared as regards the age, type of lesion (rupture VS avulsion), type of reconstruction (neurolysis vs grafting vs neurotization).
Conclusion: The earlier the surgical intervention, the better results, however this was not statistically significant until the age of one year.
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