ISSN: 1859 - 2872
Result of nerve transfer surgery in treatment of the total brachial plexus roots avulsion
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Abstract
Objective: This report aims to assess outcomes in 126 patients underwent surgery, with the unity of the donor nerve and the recovery technique. Subject and method: 126 patients with total brachial plexus root avulsion were were operated upon in the authors' department by a single surgeon and had the spinal accessory nerve direct transferred to the suprascapular nerve, the total contralateral C7 root transferred to musculocutaneous nerve and axillary nerve and median nerve through two vascularized ulnar nerve grafts in one surgery. The results were evaluated by BMRC, with a follow-up period of 46 months after surgery. Result: Shoulder abduction angle ≥ 90° was observed in 76% of cases (n = 96/126). The frequencies of elbow flexion, wrist flexion, and finger flexion at ≥ M3 were 80% (n = 101/126), 54% (n = 68/126), and 31% (n = 39/126), respectively. Sensory recovery of the hand at level ≥ S2 was achieved in 78% (n = 98/126) of patients. Conclusion: Surgical of the spinal accessory nerve direct transferred to the suprascapular nerve, the total contralateral C7 root transferred to musculocutaneous nerve and axillary nerve and median nerve through two vascularized ulnar nerve grafts in one surgery are safe and effective, with donor nerve is stability.
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References
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