电邮这篇文章 Restoration of elbow active flexion via latissimus dorsii transfer in patients with arthrogryposis
- 作者: Agranovich O.E.1, Kochenova E.A.1, Trofimova S.I.1, Petrova E.V.1, Buklaev D.S.1
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隶属关系:
- The Turner Scientific Research Institute for Children’s Orthopedics
- 期: 卷 6, 编号 3 (2018)
- 页面: 5-11
- 栏目: Original papers
- URL: https://journal-vniispk.ru/turner/article/view/10222
- DOI: https://doi.org/10.17816/PTORS6273-75
- ID: 10222
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Background. Severe hypoplasia (or aplasia) of the biceps brachii is a primary cause of restriction in activities of daily living in patients with arthrogryposis.
Aim. To estimate the possibility of restoring elbow active flexion via a latissimus dorsii transfer in patients with arthrogryposis.
Materials and methods. From 2011 to 2018, we restored active flexion of the elbow via a latissimus dorsi transfer to the biceps brachii in 30 patients with arthrogryposis (44 upper limbs). We used different regimes including clinical examinations, EMG donor and recipient sites, and CT of the chest wall and shoulder.
Results. The mean age of the patients was 4.0 ± 2.4 years, and the follow-up period was 3.2 ± 1.9 months. Follow-up results were available for 26 patients (30 upper limbs). The active postoperative elbow motion was 90.5 ± 14.9°. Elbow extension limitation occurred in 51% of cases (12.8 ± 4.3°) without any problems in activities of daily living. In total, 55.6% of patients had good results, 33.3% had satisfactory results, and 11.1% had poor results.
Discussion. Our latissimus dorsi transfer results were comparable with those of other authors. Transposition of the latissimus dorsi to the biceps brachii restores sufficient flexion of the elbow without severe elbow flexion contractures.
Conclusions. We suggest pedicle monopolar latissimus dorsi transfer as a reliable therapeutic option to restore active elbow flexion in patients with arthrogryposis having passive elbow flexion of 90° or higher before operation and donor muscle strain grade 4 or higher.
作者简介
Olga Agranovich
The Turner Scientific Research Institute for Children’s Orthopedics
编辑信件的主要联系方式.
Email: olga_agranovich@yahoo.com
ORCID iD: 0000-0002-6655-4108
MD, PhD, Professor, Head of the Department of Arthrogryposis.
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Evgeniya Kochenova
The Turner Scientific Research Institute for Children’s Orthopedics
Email: olga_agranovich@yahoo.com
MD, PhD, Surgeon of the Department of Arthrogryposis
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Svetlana Trofimova
The Turner Scientific Research Institute for Children’s Orthopedics
Email: olga_agranovich@yahoo.com
MD, PhD, Researcher of the Department of Arthrogryposis
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Ekaterina Petrova
The Turner Scientific Research Institute for Children’s Orthopedics
Email: olga_agranovich@yahoo.com
MD, PhD, Senior Researcher of the Department of Arthrogryposis
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Dmitriy Buklaev
The Turner Scientific Research Institute for Children’s Orthopedics
Email: olga_agranovich@yahoo.com
MD, PhD, Chief of the Department of Arthrogryposis
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603参考
- Basheer H, Zelic V, Rabia F. Functional Scoring System for Obstetric Brachial Plexus Palsy. J Hand Surg Br. 2016;25(1):41-45. doi: 10.1054/jhsb.1999.0281.
- Schottstaedt ER, Larsen LJ, Bost FC. Complete muscle transposition. J Bone Joint Surg Am. 1955;37-A(5):897-918.
- Zancolli E, Mitre H. Latissimus dorsi transfer to restore elbow flexion. An appraisal of eight cases. J Bone Joint Surg Am. 1973;55(6):1265-1275.
- Van Heest A, Waters PM, Simmons BP. Surgical treatment of arthrogryposis of the elbow. J Hand Surg Am. 1998;23(6):1063-1070. doi: 10.1016/s0363-5023(98)80017-8.
- Ezaki M. Treatment of the upper limb in the child with arthrogryposis. Hand Clin. 2000;16(4):703-711.
- Zargarbashi R, Nabian MH, Werthel JD, Valenti P. Is bipolar latissimus dorsi transfer a reliable option to restore elbow flexion in children with arthrogryposis? A review of 13 tendon transfers. J Shoulder Elbow Surg. 2017;26(11):2004-2009. doi: 10.1016/j.jse.2017.04.002.
- Morrey BF, Askew LJ, Chao EY. A biomechanical study of normal functional elbow motion. J Bone Joint Surg Am. 1981;63(6):872-877.
- Chomiak J, Dungl P. Reconstruction of elbow flexion in arthrogryposis multiplex congenita type I. Part I: surgical anatomy and vascular and nerve supply of the pectoralis major muscle as a basis for muscle transfer. J Child Orthop. 2008;2(5):357-364. doi: 10.1007/s11832-008-0130-0.
- Chang LD, Goldberg NH, Chang B, Spence R. Elbow defect coverage with a one-staged, tunneled latissimus dorsi transposition flap. Ann Plast Surg. 1994;32(5):496-502.
- Vekris MD, Beris AE, Lykissas MG, et al. Restoration of elbow function in severe brachial plexus paralysis via muscle transfers. Injury. 2008;39 Suppl 3:S15-22. doi: 10.1016/j.injury.2008.06.008.
- Cambon-Binder A, Belkheyar Z, Durand S, et al. Elbow flexion restoration using pedicled latissimus dorsi transfer in seven cases. Chir Main. 2012;31(6):324-330. doi: 10.1016/j.main.2012.10.169.
- De Smet L. Bipolar latissimus dorsi flap transfer for reconstruction of the deltoid. Acta Orthop Belg. 2009;75(1):32-36.
- Moursy M, Cafaltzis K, Eisermann S, Lehmann LJ. Latissimus dorsi transfer: L’Episcopo versus Herzberg technique. Acta Orthop Belg. 2012;78(3):296-303.
- Harmon PH. Muscle transplantation for triceps palsy; the technique of utilizing the latissimus dorsi. J Bone Joint Surg Am. 1949;31A(2):409-412.
- Chaudhry S, Hopyan S. Bipolar latissimus transfer for restoration of elbow flexion. J Orthop. 2013;10(3):133-138. doi: 10.1016/j.jor.2013.06.004.
- Sood A, Therattil PJ, Russo G, Lee ES. Functional Latissimus Dorsi Transfer for Upper-Extremity Reconstruction: A Case Report and Review of the Literature. Eplasty. 2017;17:e5.
- Hirayama T, Tada H, Katsuki M, Yoshida E. The pedicle latissimus dorsi transfer for reconstruction of the plexus brachialis and brachium. Clin Orthop Relat Res. 1994;(309):201-207.
- Kawamura K, Yajima H, Tomita Y, et al. Restoration of elbow function with pedicled latissimus dorsi myocutaneous flap transfer. J Shoulder Elbow Surg. 2007;16(1):84-90. doi: 10.1016/j.jse.2006.03.006.
- Pierce TD, Tomaino MM. Use of the pedicled latissimus muscle flap for upper-extremity reconstruction. J Am Acad Orthop Surg. 2000;8(5):324-331.
- Axer A, Segal D, Elkon A. Partial transposition of the latissimus dorsi. A new operative technique to restore elbow and finger flexion. J Bone Joint Surg Am. 1973;55(6):1259-1264.
- Boven ETW. Latissimus Dorsi to Biceps Transfer in Children with Arthrogryposis: Influence of Preoperative Volume on Outcome and Comparison to Reference Values [Internet]. [cited 2018 Jul 17]. Available from: http://scripties.umcg.eldoc.ub.rug.nl/FILES/root/geneeskunde/2017/BovenETW/ BovenETW.pdf
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