%0 Journal Article
%T Comparing the Surgical Outcomes of Modified Quad and Triangle Tilt Surgeries to other Procedures Performed in Obstetric Brachial Plexus Injury
%A Rahul K. Nath
%A Juan-Carlos Pretto
%A Chandra Somasundaram
%J Surgical Science
%P 15-21
%@ 2157-9415
%D 2013
%I Scientific Research Publishing
%R 10.4236/ss.2013.49A003
%X <p>
	<b><span>Purpose:</span></b><span> To compare results from our<b> </b>surgical
treatment experiences in children with obstetric brachial plexus injuries
(OBPI), to those who have had other surgical treatments. <b>Methods: </b>We conducted a retrospective study in our medical records
consisting of two groups of OBPI patients. <b>Group
1</b>: 26 OBPI children (16 girls and 10 boys), age range be</span><span>tween
2.0 and 12.0 (mean age 6.9), who have undergone surgical treatments at other
institutions between 2005 and 2010. <b>Group
2</b>: 45 OBPI children (20 boys and 25 girls), age between 0.7 and 12.9 (mean
age 3.7), who have had modified Quad and triangle tilt surgical treatment between
2005 and 2010 at our institution. In both groups Mean modi</span><span>fied
Mallet scores and radiological scores were measured and compared. All
measurements were made at least one year post surgery in both groups. <b>Results:</b> Post-operative mean modified
Mallet score was 11.8 </span><span style=\"font-family:Symbol;\">¡À</span><span> 2.4 in
group 1 patients, whereas post-mean modified Mallet score was 20 </span><span style=\"font-family:Symbol;\">¡À</span><span> 2.7</span><span> </span><span>(P &lt;</span><span> </span><span>0.0001) following modified Quad and triangle tilt surgeries in group
2 patients. Further, their radiological scores such as posterior subluxation,
and glenoid version were 13.4 </span><span style=\"font-family:Symbol;\">¡À</span><span> 21.3 and <span style=\"white-space:nowrap;\">©�</span>30.2 </span><span style=\"font-family:Symbol;\">¡À</span><span> 19.1 in group 1, whereas 32.1 </span><span style=\"font-family:Symbol;\">¡À</span><span>13.5 (P</span><span> </span><span>&lt;</span><span> </span><span>0.0004), and <span style=\"white-space:nowrap;\">©�</span>16.3 </span><span style=\"font-family:Symbol;\">¡À</span><span> 11.5 (P</span><span> </span><span>&lt;</span><span> </span><span>0.008)
in group 2 patients, when compared to normal values of 50, and 0 respectively.</span><b><span style=\"font-size:12.0pt;\"> </span><span>Conclusion:</span></b><span> Patients who have had mod
Quad and triangle tilt for OBPI obtained significantly better functional
outcomes in modified total Mallet score as well as in radiological scores, when
compared to those OBPI children, who underwent other procedures such as
posterior glenohumeral cap</span><span>sulorrhaphy, biceps tendon lengthening,
humeral osteotomy, anterior capsule release, nerve transfer/graft, botox and muscle/tendon
transfer and release.</span><span></span> 
</p>
%K Obstetric Brachial Plexus Injury
%K Triangle Tilt Surgery
%K Modified Quad Surgery
%K Modified Mallet
%K Radiological Score
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=35450