Evaluation of nerve procedures and FFMT in adult BPI - the Surabaya experience

Abstract

Results The number of operative cases of brachial plexus injury increase each year. Fifty nine percent of cases were managed in public hospitals and 41% in private hospitals. Most of the patients were males (86%) and the rest were females (14%). Brachial plexus injury was most prevalent between 21-30 years of age (37%). Motor vehicle accident was the most frequent mode of injury (90%). The right side was the most frequently affected side (77%). The levels of injury were as follows: C5-6 postganglionic (24%), C5-7 postganglionic (19%), C8-T1 postganglionic (3%), C5-T1 (54%). In complete BPI, the combination of C5-7 postganglionic and C8-T1 preganglionic were present in 33% of cases. There were 2 types of surgical intervention: nerve procedure (67%) and muscle procedure (33%). Nerve transfer was the most frequently employed mode of nerve procedures (54%, one third of which was either Oberlin’s transfer or double fascicular nerve transfer). The most frequently performed muscle procedure was the free functioning muscle transfer (78%).