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Children in group A were treated with classical intraplexal repair and those in group B were treated by distal nerve transfers. At 6 months, all the children in group B had achieved Modified Medical Research Council (MMRC) grade 3 elbow flexion along with 8 of the 16 children in group A, which was a statistically significant difference. At 6 months, all the children in group B achieved MMRC grade 3 or higher shoulder abduction and 8 of the 16 children in group A had done so, which was also statistically significant. At the final follow-up, the distal transfer surgical treatment group had a significantly higher Mallet score. Distal nerve transfers have a significant advantage in early recovery in elbow flexion and shoulder abduction, but the outcomes became similar after 9 months.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Level of evidence:<\/jats:bold>\n                    III\n                  <\/jats:p>","DOI":"10.1177\/17531934231201955","type":"journal-article","created":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T11:20:21Z","timestamp":1695640821000},"page":"591-595","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Prospective study comparing outcomes of primary intraplexal repair versus distal nerve transfers in Narakas grade I birth brachial plexus palsy"],"prefix":"10.1177","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2191-4381","authenticated-orcid":false,"given":"Mukund R.","family":"Thatte","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Bombay Hospital &amp; Institute of Medical Sciences, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nayana S.","family":"Nayak","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Bombay Hospital &amp; Institute of Medical Sciences, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,9,25]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B8.15975"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199810000-00032"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.3171\/2017.8.PEDS17160"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(21)00264-X"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193416663887"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(21)00266-3"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200403000-00012"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-017-3492-0"},{"key":"e_1_3_4_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920151105"},{"key":"e_1_3_4_11_1","first-page":"270","volume-title":"Muscle testing function","author":"Kendall FP","year":"1993","unstructured":"Kendall FP, McCreary EK. 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Rev Chir Orthop Reparatrice Appar Mot. 1972, 58: 166\u20138.","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"},{"key":"e_1_3_4_16_1","first-page":"247","volume-title":"The pediatric upper extremity: diagnosis and management","author":"Narakas AO.","year":"1986","unstructured":"Narakas AO. Injuries to the brachial plexus. In: Bora FW (Ed.). The pediatric upper extremity: diagnosis and management. Philadelphia, WB Saunders Company, 1986: 247\u201358."},{"key":"e_1_3_4_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(94)90011-6"},{"key":"e_1_3_4_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003668"},{"key":"e_1_3_4_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/BTH.0b013e3182164b15"},{"key":"e_1_3_4_20_1","first-page":"2","article-title":"Obstetric brachial plexus palsy. Diagnosis and management strategy","volume":"1","author":"Thatte MR","year":"2017","unstructured":"Thatte MR, Hiremath A, Nayak NS, Patel N. Obstetric brachial plexus palsy. 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