Patient | Primary surgery | Recovery after primary operation | Indication for secondary surgery | Time between initial injury to secondary surgery (months) | Secondary surgery | Third surgery | Fourth surgery |
---|---|---|---|---|---|---|---|
1 | Nerve grafting median nerve | No | No recovery of index and thumb flexion | 18.3 | -Tenodesis FDP Ring, little to others | ||
2 | Nerve grafting at trunk level | No | No recovery of wrist extension | 17.5 | -Tendon transfer PT to ECRB | Tendon transfer for finger and thumb extension | |
3 | Neurolysis | Partial | Minimal recovery of wrist extension, finger and thumb extension (not function) | 24.9 | Tendon transfer PL to EPL, FCR to ECRB and FCU to EDC | Tenodesis FDP little to others for finger flexion, FDS index tendon transfer fo thumb extension, wrist fusion for finger motion | |
4 | Neurolysis | No | No recovery of elbow flexion | 41.8 | -Latissimus dorsi transfer to distal biceps tendon | ||
5 | Neurolysis | Partial | Recovery of shoulder abduction but no recovery of shoulder external rotation | 30.8 | -Latissimus dorsi transfer to infraspinatus insertion | Reattachment Latissimus dorsi insertion (loosening over time) | Reattachment Latissimus dorsi insertion (loosening over time) |
6 | Neurolysis | Partial | Minimal rocovery of shoulder abduction | 46.1 | Muscle transfer to restore shoulder abduction | ||
7 | Neurolysis | Partial | Mininal recovery of elbow flexion (not function) | 24.8 | -Free functional gracilis muscle transfer to distal biceps | Latissimus dorsi transfer for elbow flexion | |
8 | Neurolysis | Partial | Minimal rocovery of shoulder abduction | 48.3 | Shoulder arthrodesis | ||
9 | Nerve grafting from fifth cervical root to suprascapular nerve and anterior division of upper trunk | Partial | Mininal recovery of shoulder abduction (not function) | 28.6 | -Transhumeral amputation | Shoulder disarticulation |