DOES COGNITIVE CAPACITY INTERFERE WITH THE OUTCOME OF OBERLIN TRANSFER?

• Published in: Acta ortopedica brasileira Vol. 26; no. 6; pp. 394 - 396
• Main Authors: de Azevedo, Fernando Antonio Silva, Santos, William Zarza, de Oliveira, Thomaz Gê, Abdouni, Yussef Ali, da Costa, Antonio Carlos, Fucs, Patrícia Maria de Moraes Barros
• Format: Journal Article
• Language: English
• Published: Brazil ATHA EDITORA 01-12-2018; Sociedade Brasileira de Ortopedia e Traumatologia
• Subjects: Brachial Plexus; Cognition; Musculocutaneous nerve; Nerve Transfer; Original; ORTHOPEDICS; Ulnar nerve; Brachial Plexus; Ulnar nerve; Cognition; Nerve Transfer; Musculocutaneous nerve; Transferência de Nervo; Plexo Braquial; Nervo Ulnar; Cognição; Nervo Musculocutâneo
• ISSN: 1413-7852; 1809-4406; 1809-4406
• DOI: 10.1590/1413-785220182606196665

To determine the relationship between the functional outcome achieved following Oberlin transfer, the cognitive level of the patient, and the time elapsed between the trauma event and surgery.
Eighteen patients with a traumatic injury to the brachial plexus (C5-C6 and C5-C7) were evaluated. Seventeen (94.4%) patients were males and one (5.6%) was female, with a mean age of 29.5 years (range 17-46 years). We evaluated the active range of motion, elbow flexion strength, and Disabilities of the Arm, Shoulder and Hand (DASH) and determined the correlation between the procedural outcome and the patient's cognitive level, as assessed by the Mini-Mental State Exam (MMSE).
We found statistically significant correlations between the MMSE scale and strength recovery (84.4%, p<0.001), which was classified as excellent, and between the MMSE and British Medical Research Council (BMRC) scales (78.4%, p>0.001), which classified cognitive level as good.
We found a positive correlation between cognitive capacity and functional outcome of patients submitted to Oberlin surgery. The time elapsed between trauma and the surgical procedure showed an inversely proportional correlation with the strength of recovery.