Tendon-Muscular Plasty forthe Treatment of Shoulder Contractures in Children withNatal and Neonatal Brachiplex Injuries
- Authors: Merkulov VY. 1, El'tsin AG 1, Merkulov VN 1, El'tsin AG 1
- Affiliations:
- Issue: Vol 10, No 4 (2003)
- Pages: 44-47
- Section: Articles
- URL: https://journals.eco-vector.com/0869-8678/article/view/48159
- DOI: https://doi.org/10.17816/vto200310444-47
- Cite item
Abstract
During the period 1980 through 2003, 55 patients aged 3-17 years, with adductive internal rotation shoulder contractures resulted from natal and neonatal brachiplex injury were operated on. Sixty six surgical procedures including Chizhik-Poleiko, Episcopo, Meyer operations, derotation humerus osteotomy, shoulder lavsanodesis were performed. Good results were achieved in 39patients (70.9%), satisfactory results - in 15 patients (27.3%) and unsatisfactory result - in 1 patient (1.8%). It is shown that the most effective procedures are various types of tendon-muscular plasty directed to the restoration of shoulder function. The best results have been achieved in children under 10 years. Indications and contraindications to derotation humerus osteotomy are detected.
References
- Дольницкий О.В. Лечение родового паралича верхней конечности. - Киев, 1985.
- Комаревцев В.Д. Диагностика и лечение родового паралича верхней конечности у детей: Дис. ... д-ра мед. наук. - Ярославль, 2000.
- Малахов О.А., Андреева Т.М. //Материалы совещания главных детских ортопедов-травматологов России. - СПб, 2002. - С. 3-4.
- Печенкин А.К. Оперативное лечение детей и подростков с параличом дельтовидной мышцы после перенесенного полиомиелита: Дис. ... канд, мед. наук. - М., 1968.
- Фищенко В.А. Родовые повреждения плечевого сплетения и их последствия у детей и подростков: Дис. ... д-ра мед. наук. - Киев, 1993.
- Чижик-Полейко А.Н., Дедова В.Д. Родовые повреждения плечевого сплетения. - Воронеж, 1984.