Tendon-Muscular Plasty forthe Treatment of Shoulder Contractures in Children withNatal and Neonatal Brachiplex Injuries

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.

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Copyright (c) 2003 Merkulov V.Y., El'tsin A.G., Merkulov V.N., El'tsin A.G.

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