KẾT QUẢ PHẪU THUẬT GHÉP THẦN KINH TRÊN BỆNH NHI LIỆT ĐÁM RỐI THẦN KINH CÁNH TAY DO TAI BIẾN SẢN KHOA TẠI BV NHI ĐỒNG 1

Abstract

Introduction: This study evaluates the surgical outcomes of nerve grafting in pediatric patients with brachial plexus palsy due to obstetric complications at Children's Hospital 1. Objectives: Describing risk factors affecting the incidence of neonatal brachial plexus injury. Assessing the recovery outcomes of the shoulder, elbow, and hand in patients undergoing nerve grafting surgery at Children’s Hospital 1. Methods: A prospective, case series study. Results: Among 40 patients with brachial plexus palsy who underwent nerve grafting surgery, we found: Risk factors: Birth weight ≥ 4 kg (85%); vaginal delivery with difficult labor requiring intervention (97.5%); firstborn female infants had a high incidence (70%). Postoperative outcomes: Most patients showed functional recovery in 24 months: Good or excellent recovery was observed in 28 patients (75%) based on the Mallet scale. Elbow recovery was rated as good in 50% and moderate in 45% based on the Gilbert scale. Conclusion: Long-term follow-up (beyond 24 months up to 5 years) is necessary to further evaluate the outcomes of nerve grafting surgery in pediatric patients with brachial plexus palsy due to obstetric complications.