Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients aged 18 60 years with post-traumatic BPI affecting shoulder function. 2. Preserved trapezius muscle function (MRC Grade more than or equal to 4. 3. Willing to consent and participate in follow-up assessment s.
Exclusion criteria
Exclusion criteria: 1. Prior surgery involving the shoulder girdle apart from the index procedure. 2. Neuromuscular disorders affecting the upper limb. 3. Any associated fracture around shoulder joint that reduces the passive range of movement 4. Graft site infection or comorbidities precluding surgery. 5. Birth brachial plexus injury patients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the improvement in active shoulder abduction between patients undergoing conventional trapezius transfer and those undergoing modified trapezius transfer using tensor fascia lata graftTimepoint: Regular follow up after surgery is needed at 6 weeks ,3 and 6 months for measuring functional outcome which will be recorded in the performa. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To evaluate muscle strength (MRC grading) of the shoulder abductors (transferred trapezius) in both groups. 2. To assess & compare pain levels using the Visual Analog Scale (VAS) pre operatively & postoperatively at follow-up intervals. 3. To analyze patient-reported satisfaction & subjective functional outcomes using a structured feedback form. 4. To document & compare the intraoperative & postoperative complications in both surgical techniques. 5. To compare the rehabilitation timeline, cost effectiveness & ease of recovery between the two procedures. 6. To evaluate graft related morbidity (in the modified group)Timepoint: Regular follow up after surgery is needed at 6 weeks ,3 & 6 months for measuring functional outcome which will be recorded in the performa.;Timepoint: | — |
Countries
India
Contacts
AIIMS