Copyright
©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jan 18, 2015; 6(1): 156-160
Published online Jan 18, 2015. doi: 10.5312/wjo.v6.i1.156
Published online Jan 18, 2015. doi: 10.5312/wjo.v6.i1.156
Triangle tilt and humeral surgery: Meta-analysis of efficacy and functional outcome
Rahul K Nath, Chandra Somasundaram, Texas Nerve and Paralysis Institute, Houston, TX 77030, United States
Author contributions: Nath RK designed the study, performed the surgeries and revised the manuscript; Somasundaram C performed the literature search, statistical analysis and wrote the manuscript; both authors read and approved the final manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Rahul K Nath, MD, Texas Nerve and Paralysis Institute, 6400 Fannin Street, Ste. 2420, Houston, TX 77030, United States. drnath@drnathmedical.com
Telephone: +1-713-5929900 Fax: +1-713-5929921
Received: December 25, 2013
Peer-review started: December 26, 2013
First decision: February 13, 2014
Revised: August 10, 2014
Accepted: September 4, 2014
Article in press: September 10, 2014
Published online: January 18, 2015
Peer-review started: December 26, 2013
First decision: February 13, 2014
Revised: August 10, 2014
Accepted: September 4, 2014
Article in press: September 10, 2014
Published online: January 18, 2015
Core Tip
Core tip: We systematically reviewed, analyzed and compared the surgical outcomes of 9 humeral surgery papers with 179 permanent obstetric brachial plexus injury patients (OBPI), and 4 of our secondary bony procedure, the triangle tilt surgical papers with 86 OBPI patients. We used modified total Mallet functional score in this analysis. Studies with humeral surgery showed improvement of 1.4, 2.3, 5.0 and 5.6 total Mallet score, whereas the triangle tilt surgery showed improvement of 5.0, 5.5, 6.0 and 6.2. The triangle tilt surgery improves on what was achieved by humeral osteotomy in the management of shoulder function in OBPI patients.