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Bilateral Elbow Flexion Reconstruction with Functioning Free Muscle Transfer for Obstetric Brachial Plexus Palsy

From the Department of Orthopaedics, Ogori Daiichi General Hospital, Yamaguchi Prefecture, Japan

Correspondence: Dr Kazuteru Doi, President, Dept of Orthopaedics, Ogori Daiichi General Hospital, 862-3 Shimogo, Ogoricho, Yoshiki-gun, Yamaguchi prefecture 7540002, Japan. Tel.: 81-839-72-0333, Fax: 81-839-73-8610; E-mail: doimac{at}ca.mbn.or.jp

A child suffered a bilateral obstetric brachial plexus palsy involving the C5 and C6 nerve roots. Abduction of the shoulder joints had recovered by 1 year, but elbow flexion did not recover on either side. Free gracilis muscle transfers were performed on both sides, at an interval of 6 months, to achieve elbow flexion. The spinal accessory nerve was used as the donor nerve.

Journal of Hand Surgery (British and European Volume), Vol. 27, No. 5, 484-486 (2002)
DOI: 10.1054/jhsb.2002.0777


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