Neurotization of the axillary nerve using a motor branch of the triceps brachii: Outcomes after a 3-to-15-year follow-up

IF 0.9 4区医学 Q4 ORTHOPEDICS

Hand Surgery & Rehabilitation Pub Date : 2025-04-30 DOI:10.1016/j.hansur.2025.102162

Safire Ballet , Thibault Druel , Thomas Jalaguier , Arthémon Heitz , Victor Rutka , Laurent Mathieu , Aram Gazarian , Arnaud Walch

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Abstract

Purpose

Axillary nerve neurotization using a motor branch of the triceps brachii has become a therapeutic option in the management of deltoid paralysis. The purpose of this study was to report the medium to long-term outcomes of this procedure.

Material and methods

Twenty patients with a median age of 31 years (interquartile range – IQR, 29–53) were included in a single-operator retrospective study. A clinical evaluation was conducted, including the assessment of deltoid muscle strength using the British Medical Research Council grading system and a dynamometer with comparisons made between preoperative and postoperative outcomes.

Results

The median follow-up period was 6 years (IQR, 5–11). At last follow-up, the median active abduction was 160° (IQR 60–160), and 85% of patients recovered at least M3 abduction force. No donor site deficits were identified.

Discussion

The medium to long-term outcomes of the neurotization of a triceps brachii motor branch on the axillary nerve are comparable to the short-term outcomes.

Level of evidence

IV.

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使用肱三头肌运动分支进行腋窝神经化：3- 15年随访后的结果

目的：利用肱三头肌运动分支进行腋窝神经化已成为治疗三角肌麻痹的一种治疗选择。本研究的目的是报告该手术的中长期结果。材料和方法：20例中位年龄为31岁（四分位数范围- IQR， 29-53）的患者纳入单操作者回顾性研究。进行临床评估，包括使用英国医学研究委员会分级系统评估三角肌力量，并对术前和术后结果进行比较。结果：中位随访时间为6年（IQR, 5-11）。最后一次随访时，中位活动外展为160°（IQR 60-160）， 85%的患者恢复了至少M3外展力。未发现供体部位缺损。讨论：腋窝神经上肱三头肌运动支神经化的中长期结果与短期结果相当。证据等级：四级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hand Surgery & Rehabilitation Medicine-Surgery

CiteScore

1.70

自引率

27.30%

发文量

审稿时长

49 days

期刊介绍： As the official publication of the French, Belgian and Swiss Societies for Surgery of the Hand, as well as of the French Society of Rehabilitation of the Hand & Upper Limb, ''Hand Surgery and Rehabilitation'' - formerly named "Chirurgie de la Main" - publishes original articles, literature reviews, technical notes, and clinical cases. It is indexed in the main international databases (including Medline). Initially a platform for French-speaking hand surgeons, the journal will now publish its articles in English to disseminate its author''s scientific findings more widely. The journal also includes a biannual supplement in French, the monograph of the French Society for Surgery of the Hand, where comprehensive reviews in the fields of hand, peripheral nerve and upper limb surgery are presented. Organe officiel de la Société française de chirurgie de la main, de la Société française de Rééducation de la main (SFRM-GEMMSOR), de la Société suisse de chirurgie de la main et du Belgian Hand Group, indexée dans les grandes bases de données internationales (Medline, Embase, Pascal, Scopus), Hand Surgery and Rehabilitation - anciennement titrée Chirurgie de la main - publie des articles originaux, des revues de la littérature, des notes techniques, des cas clinique. Initialement plateforme d''expression francophone de la spécialité, la revue s''oriente désormais vers l''anglais pour devenir une référence scientifique et de formation de la spécialité en France et en Europe. Avec 6 publications en anglais par an, la revue comprend également un supplément biannuel, la monographie du GEM, où sont présentées en français, des mises au point complètes dans les domaines de la chirurgie de la main, des nerfs périphériques et du membre supérieur.