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Suroto H, Antoni I, Siyo A, et al. Traumatic Brachial Plexus Injury in Indonesia: An Experience from a Developing Country. J Reconstr Microsurg. 2021;doi: 10.1055/s-0041-1735507.
Suroto, H., Antoni, I., Siyo, A., Steendam, T. C., Prajasari, T., Mulyono, H. B., & De Vega, B. (2021). Traumatic Brachial Plexus Injury in Indonesia: An Experience from a Developing Country. Journal of reconstructive microsurgery, . https://doi.org/10.1055/s-0041-1735507
Suroto, Heri, et al. "Traumatic Brachial Plexus Injury in Indonesia: An Experience from a Developing Country." Journal of reconstructive microsurgery vol. (2021). doi: https://doi.org/10.1055/s-0041-1735507
Suroto H, Antoni I, Siyo A, Steendam TC, Prajasari T, Mulyono HB, De Vega B. Traumatic Brachial Plexus Injury in Indonesia: An Experience from a Developing Country. J Reconstr Microsurg. 2021 Sep 01; doi: 10.1055/s-0041-1735507. Epub 2021 Sep 01. PMID: 34470060.
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J Reconstr Microsurg. 2021 Sep 01; doi: 10.1055/s-0041-1735507. Epub 2021 Sep 01.

Traumatic Brachial Plexus Injury in Indonesia: An Experience from a Developing Country.

Journal of reconstructive microsurgery

Heri Suroto, Irene Antoni, Angelina Siyo, Tawatha C Steendam, Tabita Prajasari, Herlambang Budi Mulyono, Brigita De Vega

Affiliations

  1. Department of Orthopaedic and Traumatology, Dr Soetomo General Academic Hospital/ Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia.
  2. Research Fellow at Cell and Tissue Bank Regenerative Medicine, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
  3. Leiden University Medical Centre, The Netherlands.
  4. Faculty of Medicine Universitas Cendrawasih, Jayapura/ Papua, Indonesia.
  5. Institute of Orthopaedics and Musculoskeletal Science, University College London, United Kingdom.

PMID: 34470060 DOI: 10.1055/s-0041-1735507

Abstract

BACKGROUND:  Brachial plexus injuries (BPI) cause severe physical disability and major psycho-socioeconomic burden. Although various countries have reported BPI incidence, the data from Indonesia as the fourth most populated country in the world remains unknown. We aim to assess the distribution of traumatic BPI, patients' characteristics, and treatment modalities in Indonesia.

METHODS:  A retrospective investigation was performed comprising 491 BPI patients at a tertiary referral hospital in Indonesia from January 2003 to October 2019. Demographic and outcomes data were retrieved from medical records.

RESULTS:  The average BPI patients' age was 27.3 ± 11.6 years old, with a male/female ratio of 4.6:1. Motorcycle accidents caused the majority (76.1%) of all BPI cases. Concomitant injuries were present in 62.3% of patients, dominated by fractures (57.1%) and brain injuries (25.4%). BPI lesion type was classified into complete (C5-T1, observed in 70% patients), upper (C5-C6, in 15% patients), extended upper (C5-C7, in 14% patients), and lower type (C8-T1, in 1% patients). The average time to surgery was 16.8 months (range 1-120 months), with the majority (76.6%) of the patients was operated on six months after the trauma. Free functional muscle transfer (FFMT) was the most common procedure performed (37%). We also analyzed the functional outcomes (active range of motion (AROM) and muscle power), DASH (Disabilities of the Arm, Shoulder, and Hand) score, and VAS (Visual Analogue Scale) across four most frequent procedures involving nerve reconstruction (FFMT, nerve transfer, external neurolysis, and nerve grafting). We found that FFMT was significantly better than nerve transfer in terms of DASH score and VAS (

CONCLUSION:  This study provides an overview of traumatic BPI patients in a single tertiary trauma center in Indonesia, expressing the profile of their characteristics and functional outcomes after surgical procedures.

The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Conflict of interest statement

The authors declare that they have no conflict of interest.Each author certifies that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing

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