Abstract

HERRAND-PERDOMO, Héctor A. et al. Surgical management of braquial plexus injuries at Plastic Surgery Unit Dr. Salvador B. Gautier Hospital, Santo Domingo, Dominican Republic: a 5 year retrospective study. Cir. plást. iberolatinoam. [online]. 2017, vol.43, suppl.1, pp.571-575. ISSN 1989-2055.

Background and Objective. Treatment of braquial plexus injuries is highly demandant and difficult, not only because of its complexity and anatomical variability, but because it needs of special habilities for diagnosis and management.Many surgical techniques and its modifications are described looking for recovering of functional capacity of a palsy extremity. In this paper we review the experience of our Unit in management and treatment of these patients, looking for, in a second phase, to get an evaluation of results in order to achive rules for future attention to these patiens. Methods. A5 years and 49 patients series about management of brachial plexus injuries is presented. Cases were treated at Dr. Salvador B. Gautier Hospital in the Dominican Republic and evaluated retrospectively. Results. Most of the patients were young adults between 21 and 29 years old (53%).Male patients predominancy of 93%.Motorcycle accidents caused 86% of injuries. Closed lesion was present in 86%.Most of the patients were referred late to the hospital. The most common affected roots were C5, C6. Avulsion was the most common injury and 48 out of 49 patients had a direct braquial plexus surgery with a 100% of neurolisis; 41% nerve grafts and nerve transfers; and 7 cases with out of the plexus nerve transfers. Conclusions. With all our recoverd data and once determined the most frecuent type of patient with braquial plexus injury in our area, we may conduct a follow-up study of the patients in order to know their recover level, their authonomy and their back to a productive job.

Keywords : Brachial Plexus; Paralysis; Braquial plexus surgery; Upper extremity.

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