Almost of brachial plexus injuries occurred in traffic accidents while driving high speed motorcycles. Their treatments were usually difficult with poor outcomes. Thanks to microsurgical techniques, these injuries could be treated early to restore the movement capability of patients. Clinical signs included paralysis of upper collar; behind clavicle and lower collar areas, and the signs of spinal cord injuries. Paraclinical tests included standard X ray; MRI; spinal radiography; electromusculography; muscle test; respiratory function tests. Regime: in the first examination: clinical examination, EMG test, muscle test, respiratory function tests, X ray studies of cervical spine, heart and lungs, other necessary films; myelography; MRI
Brachial Plexus ; Wounds and Injuries ; Therapeutics

In the Hospital for Trauma and Orthopedics of Ho Chi Minh city from 1995 to 2004, there were 15 cases (12 male and 3 female) with second toe transfer to replace 8 lost thumbs, 5 lost total long fingers and 2 cases of double toe transfer. Results: All 15 cases had good health and good recovery. The follow-up in 9 patients showed 5 patients in grade 1 recovery and 4 patients in grade 2 recovery according to Pho's evaluation criteria, that means they were useful
Surgery, Plastic ; Surgery

From January 2000 to March 2004, 57 patients (53 males, 4 females, aged between 15 and 60 years old) with upper root injuries or complete brachial plexus injuries were surgical treated by neurotization from spinal accessory nerve to the musculo-cutaneous nerve for restoration of elbow flexion in the Trauma and Orthopedics Hospital of HoChiMinh city. Following-up lasted 12-24 months. The results: good result in restoration of elbow flexion MRC3 or more in 72% and the earliest MRC3 gained time was 8 months, the time became to zoom in 2 muscle tips was 6 months. The early neurotization surgery and young people were important factors for good results. Although a less re-examination patients, recovery results were good. It solved somewhat psychological complex for patients
Brachial Plexus ; Nerve Transfer ; Brachial Plexus

33 cases of posterior inter-osseous island flaps with reverse flow were done at the Reconstructive Microsurgery Department, Center for Trauma and Orthopedics of Ho Chi Minh City from January 1997 to September 1998. These flap transfers were used to cover small skin and soft tissue defects of wrist, hand thumb and MP Joint areas. The total surface of the island flap is from 32-60 cm2, the pedicle length is from 08-12cm. The survival rate was 94%, the graft skin was supplied, with very little fibrous and contractile scar. There was no sensibility except 03 were gradually recovered up to S1-S2. The conveniences of this procedure were acceptable: easy to perform, unnecessary to scarify a main artery and the survival rate of the flap is high. This island flap is always suitable to relapse the Chinese island flap in some indications.
Skin ; Soft Tissue Injuries