Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Comparison of the Short-term Surgical Outcomes in Patients with Closed Traction Injuries to Brachial Plexus

Version 1 : Received: 7 July 2022 / Approved: 9 July 2022 / Online: 9 July 2022 (16:47:09 CEST)

How to cite: Ulyanov, V.; Bazhanov, S.P.; Shuvalov, S.D.; Korshunova, G.A.; Ostrovskij, V.V. Comparison of the Short-term Surgical Outcomes in Patients with Closed Traction Injuries to Brachial Plexus. Preprints 2022, 2022070142. https://doi.org/10.20944/preprints202207.0142.v1 Ulyanov, V.; Bazhanov, S.P.; Shuvalov, S.D.; Korshunova, G.A.; Ostrovskij, V.V. Comparison of the Short-term Surgical Outcomes in Patients with Closed Traction Injuries to Brachial Plexus. Preprints 2022, 2022070142. https://doi.org/10.20944/preprints202207.0142.v1

Abstract

As the problem of traction injuries to brachial plexus is a common one and of high socio-economic significance, the analysis of the surgical outcomes in patients with this pathology is significant for neurosurgery, neurology, traumatology-orthopedics, and rehabilitation. The aim of the research is to compare the short-term outcomes of using various surgical methods for managing patients with closed traction injuries of brachial plexus. Material and methods. The research involved 61 patients with closed traction injury of brachial plexus divided into two groups homogeneous in sex, age and severity of their neurological deficit: Group I – 33 patients who underwent microsurgical neurolysis, Group II – 28 patients who underwent microsurgical neurolysis combined with one-level electrostimulation. The dynamic assessment of clinical and functional status of upper limbs was performed using scale methods and electrophysiological monitoring. Results. The research revealed a more evident recovery of the upper limb function in Group II patients suggesting the method of microsurgical neurolysis combined with electrostimulation to be preferable in case of closed traction injuries to brachial plexus. Conclusion. The combination of microsurgical neurolysis with one-level electrostimulation improves the short-term outcomes of surgical treatment in patients with closed traction injuries of brachial plexus due to a sooner decrease in pain in postoperative period, and positive dynamics of clinical and electrophysiological parameters.

Keywords

brachial plexus; traction injury; surgical treatment; electrostimulation

Subject

Medicine and Pharmacology, Surgery

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