OUTCOME OF DYNAMIC COMPRESSION PLATE WITH DORSAL RADIAL SLIDING GRAFT TECHNIQUE FOR WRIST ARTHRODESIS IN BRACHIAL PLEXUS INJURY PATIENTS

Authors

  • Asad Ullah Jan Fellow in Hand surgery National Orthopaedic hospital Bahawalpur
  • Tehseen Ahmed Cheema National Orthopedic Hospital
  • Sajjad Ahmad PGR FCPS II Ortho Department of Orthopedics and spine unit A, Hayat Abad Medical Complex Peshawar
  • Muhammad Shafiq Associate Professor Department of Orthopedics Gomal Medical College DIKhan
  • Baqir Hussain PGR FCPS II Department of Orthopedics and spine unit A, Hayat Abad Medical Complex Peshawar
  • Farman Ullah PGR FCPS II Ortho Department of Orthopedics and spine unit A, Hayat Abad Medical Complex Peshawar

Abstract

Background: The incidence of brachial plexus injuries have shown to increase over the years. It is 1–2% worldwide according to the WHO. In global brachial plexus injuries and lower root injures when the wrist and hand functions are lost, wrist arthrodesis is a viable option. In other cases, when there are some residual hand functions, wrist arthrodesis stabilizes the wrist as well as provides donor muscles tendons to enhance finger functions. Apart from these, wrist arthrodesis increase grip strength and power, and also wrist in extension assume a better shape cosmetically. Purpose: Outcome of dynamic compression plate with dorsal radial sliding graft for wrist arthrodesis in terms of time to union and complications in brachial plexus injury patients. Methods: This is a retrospective chart review of patients treated in National Orthopaedic Hospital Bahawalpur, from January 2011 to Sep 2017. All the patients with brachial plexopathies of both genders from age 14 to 60 were included in the study. Data was analysed using MS Excel 2010. Results: A total of 34 patients were included in the study. Road traffic accidents was the major cause of the injury having 30 (88%) patients whereas birth palsy and gunshots had 2 patients each (6%). Twenty-three patients had no associated fracture while remaining 11 patients had a fracture. There was union in all patients (100 %) and mean time to union was 6.5 weeks (range 6–8) radiologically. Mean follow up was 20.2 months (range 1.5–72). Keywords:  Brachial plexus injury; wrist arthrodesis; radius sliding graft; dynamic compression plate

Author Biographies

Asad Ullah Jan, Fellow in Hand surgery National Orthopaedic hospital Bahawalpur

Fellow in Hand surgeryNational Orthopaedic hospital Bahawalpur

Tehseen Ahmed Cheema, National Orthopedic Hospital

Professor EmeritusNational Orthopedic HospitalBahawalpur

Sajjad Ahmad, PGR FCPS II Ortho Department of Orthopedics and spine unit A, Hayat Abad Medical Complex Peshawar

PGR FCPS II OrthoDepartment of Orthopedics and spine unit A,Hayat Abad Medical Complex Peshawar

Muhammad Shafiq, Associate Professor Department of Orthopedics Gomal Medical College DIKhan

Associate ProfessorDepartment of OrthopedicsGomal Medical College DIKhan

Baqir Hussain, PGR FCPS II Department of Orthopedics and spine unit A, Hayat Abad Medical Complex Peshawar

PGR FCPS II OrthoDepartment of Orthopedics and spine unit A,Hayat Abad Medical Complex Peshawar

Farman Ullah, PGR FCPS II Ortho Department of Orthopedics and spine unit A, Hayat Abad Medical Complex Peshawar

PGR FCPS II OrthoDepartment of Orthopedics and spine unit A,Hayat Abad Medical Complex Peshawar

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Published

2019-03-28

Issue

Vol. 31 No. 2 (2019): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

ORIGINAL ARTICLE

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