[Latissimus dorsi muscle flap for autologous myoplasty in children with sequelae to obstetric paralysis of the Duchenne-Erb type].

Within 1987-1989, surgical correction of sequelae to obstetrical paralysis of an upper extremity of the Duchenne-Erb type was accomplished in 26 children. In 11 cases, the operations of transposition and lengthening of the adductor brachial muscles were supplemented with a non-free transfer of a thoracico-dorsal flap on a neurovascular bundle to the position of a musculus deltoideus. With the aim of active functional influencing on a myotransplant at the early postoperative period, the neural stimulation and adaptive bioregulation with the outer feedback were used. For control, the continuous electroneuromyography was used. A good functional result was obtained.