{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T13:45:16Z","timestamp":1740145516117,"version":"3.37.3"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T00:00:00Z","timestamp":1696982400000},"content-version":"vor","delay-in-days":283,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Brachial Plex Peripher Nerve Inj"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background (rationale)\u2003Steindler flexorplasty (SF) is aimed at restoring independent elbow flexion in the late stages of dysfunction of the primary elbow flexors. Selection criteria for successful SF have been defined.<\/jats:p><jats:p>\n          Objectives\u2003The purpose of this study was to redefine the inclusion criteria for successful SF based on functional outcomes.<\/jats:p><jats:p>\n          Methods\u2003Eight patients received SF after an average of 50.8 months after injury or dysfunction. Three patients (37.5%) met all five Al-Qattan inclusion criteria (AQIC), and another five patients (62.5%) met four or less AQIC. Patients were followed up for at least 9 months, and the maximum range of active elbow flexion (REF) was measured. Functional results of SF were assessed using the Al-Qattan scale (in accordance with Al-Qattan's scale).<\/jats:p><jats:p>\n          Results\u2003The mean maximum REF was 100\u2009degrees (70 to 140\u2009degrees). Five patients reached REF greater than 100\u2009degrees. One patient had a poor outcome, two patients (25%) had a fair outcome, three patients (37.5%) had a good outcome, and two patients (25%) had an excellent outcome of SF on the Al-Qattan scale. The impact of each AQIC on functional outcome has been critically reviewed from a biomechanical point of view.<\/jats:p><jats:p>\n          Conclusions\u2003The sufficient number of inclusion criteria required for successful SF can be reduced from five (according to AQIC) to two; Normal or near-normal function (M4 or greater on the MRC scale) of the muscles of the flexor-pronator mass should be considered an obligatory inclusion criterion, while primary wrist extensors may be considered an optional inclusion criterion.<\/jats:p>","DOI":"10.1055\/s-0043-1767672","type":"journal-article","created":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T22:49:32Z","timestamp":1697064572000},"page":"e32-e41","source":"Crossref","is-referenced-by-count":0,"title":["Redefining the Inclusion Criteria for Successful Steindler Flexorplasty Based on the Outcomes of a Case Series in Eight Patients"],"prefix":"10.1055","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2212-2143","authenticated-orcid":false,"given":"Alexander A.","family":"Gatskiy","sequence":"additional","affiliation":[{"name":"Restorative Neurosurgery Department, Romodanov Neurosurgery Institute, Kyiv, Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ihor B.","family":"Tretyak","sequence":"additional","affiliation":[{"name":"Restorative Neurosurgery Department, Romodanov Neurosurgery Institute, Kyiv, Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg","family":"Bahm","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische Chirurgie, Hand- und Verbrennungschirurgie, Sektion Plexuschirurgie in der Uniklinik RWTH Aachen, Aachen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vitaliy I.","family":"Tsymbaliuk","sequence":"additional","affiliation":[{"name":"National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yaroslav V.","family":"Tsymbaliuk","sequence":"additional","affiliation":[{"name":"Group of Chronic Pain Treatment, Romodanov Neurosurgery Institute, Kyiv, Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,10,11]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1590\/S0004-282X2011000400023","article-title":"Surgical treatment of adult traumatic brachial plexus injuries: an overview","volume":"69","author":"M G Siqueira","year":"2011","journal-title":"Arq Neuropsiquiatr"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1097\/BTH.0000000000000248","article-title":"Steindler flexorplasty: a description of current technique and case series","volume":"23","author":"P G Marinello","year":"2019","journal-title":"Tech Hand Up Extrem Surg"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1007\/s12593-011-0031-1","article-title":"Nerve transfers for traumatic brachial plexus injury: advantages and problems","volume":"3","author":"T Hems","year":"2011","journal-title":"J Hand Microsurg"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1016\/j.injury.2020.02.076","article-title":"Surgical reconstructions for adult brachial plexus injuries. 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