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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Comparison between partial ulnar and intercostal nerve transfers for reconstructing elbow flexion in patients with upper brachial plexus injuries. | Kakinoki et al. Journal of Brachial Plexus and Peripheral Nerve Injury 2010 5 4 http www.jbppni.eom content 5 1 4 JOURNAL OF BRACHIAL PLEXUS AND PERIPHERAL NERVE INJURY RESEARCH ARTICLE Open Access Comparison between partial ulnar and intercostal nerve transfers for reconstructing elbow flexion in patients with upper brachial plexus injuries Ryosuke Kakinoki1 2 Ryosuke Ikeguchi1 Scott FM Dunkan3 Ken Nakayama4 Taiichi Matsumoto5 Soichi Ohta1 Takashi Nakamura1 2 Abstract Background There have been several reports that partial ulnar transfer PUNT is preferable for reconstructing elbow flexion in patients with upper brachial plexus injuries BPIs compared with intercostal nerve transfer ICNT . The purpose of this study was to compare the recovery of elbow flexion between patients subjected to PUNT and patients subjected to ICNT. Methods Sixteen patients 13 men and three women with BPIs for whom PUNT eight patients or ICNT eight patients had been performed to restore elbow flexion function were studied. The time required in obtaining M1 M3 Medical Research Council scale grades recovery for elbow flexion and a full range of elbow joint movement against gravity with the wrist and fingers extended maximally and the outcomes of a manual muscle test MMT for elbow flexion were examined in both groups. Results There were no significant differences between the PUNT and ICNT groups in terms of the age of patients at the time of surgery or the interval between injury and surgery. There were significantly more injured nerve roots in the ICNT group mean 3.6 than in the PUNT group mean 2.1 P 0.0006 . The times required to obtain grades M1 and M3 in elbow flexion were significantly shorter in the PUNT group than in the ICNT group P 0.04 for M1 and P 0.002 for M3 . However there was no significant difference between the two groups in the time required to obtain full flexion of the elbow joint with maximally extended fingers and wrist or in the final MMT scores for elbow flexion. .
