PMID: 11917959Mar 29, 2002Paper

Outcomes of surgical treatment of brachial plexus injuries using nerve grafting and nerve transfers

Journal of Reconstructive Microsurgery
Tarek Abdalla El-Gammal, Nihal Ahmed Fathi

Abstract

Between 1993 and 1998, 32 male patients with brachial plexus injuries were surgically treated. Eighteen interfascicular grafting and 71 extraplexal neurotization procedures were performed separately or in combination. Donor nerves were the intercostals, spinal accessory, phrenic, contralateral C7, and cervical plexus, in order of frequency. Patients were followed for a minimum of 24 (average, 35) months. Biceps function was best following grafting the musculocutaneous nerve itself, or neurotization with the phrenic nerve (100 percent grade 4), followed by neurotization with the intercostals (89.5 percent grade 3 or more) and last, grafting the C5 root or upper trunk (grade 3 in one of three patients). Phrenic to suprascapular neurotization produced the best results of shoulder abduction (40 to 90 degrees), followed by combined neurotization of the spinal accessory to suprascapular and phrenic to axillary (20 to 90 degrees). Sensory recovery over the lateral forearm and palm varied from S2 to S3+, according to the method of reconstruction.

Citations

Mar 5, 2003·Microsurgery·Tarek Abdalla El-GammalMohammed M Kotb
Jul 2, 2003·Microsurgery·William C Lineaweaver
Jul 25, 2003·The Journal of Hand Surgery·Somsak LeechavengvongsPhairat Thuvasethakul
Dec 23, 2004·Journal of Pediatric Orthopedics·Peter M Waters
Jun 3, 2005·Journal of Pediatric Orthopedics. Part B·Peter M Waters
Jan 6, 2010·Plastic and Reconstructive Surgery·Julia K Terzis, Antonia Barmpitsioti
May 29, 2008·Journal of Brachial Plexus and Peripheral Nerve Injury·Hari VenkatramaniS Raja Sabapathy
Jun 4, 2004·Neurosurgical Focus·Rajiv Midha
Apr 7, 2010·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·P S BhandariSanjay Maurya
Apr 2, 2014·The Orthopedic Clinics of North America·Joshua M Abzug, Scott H Kozin
Jan 23, 2013·Injury·Ioannis Kostas-AgnantisAlexander Beris
Nov 11, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Julia K Terzis, Antonia Barbitsioti
Nov 26, 2010·The Journal of Hand Surgery·Rudy KovachevichAlexander Y Shin
Feb 10, 2010·The Journal of Hand Surgery·Holly B HalePeter M Waters
Feb 24, 2010·Injury·Marios D VekrisPanayotis N Soucacos
Jan 12, 2010·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Amit PabariAsh Mosahebi
Oct 6, 2009·Journal of Shoulder and Elbow Surgery·Beat K MoorLadislav Nagy
Nov 26, 2009·Nitric Oxide : Biology and Chemistry·Jiachuan WangLi-Hua Zhou
Feb 19, 2009·Best Practice & Research. Clinical Obstetrics & Gynaecology·Tak Yeung Leung, Tony Kwok Hung Chung
Mar 6, 2007·The Journal of Hand Surgery·Michael B Wood, Peter M Murray
Sep 4, 2008·Microsurgery·Tarek A El-GammalHala S Abdel-Ghaffar
Oct 24, 2008·Microsurgery·Tatjana Ismini LanarasNektarios Sinis
Oct 6, 2012·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Chairoj UerpairojkitMathee Ongsiriporn
Mar 25, 2008·Pediatric Neurology·Dimitrios I Zafeiriou, Katerina Psychogiou
Apr 21, 2016·Hand Clinics·Liselotte F Bulstra, Alexander Y Shin
Apr 8, 2009·Experimental Neurology·Wilson Z Ray, Susan E Mackinnon
Apr 4, 2017·World Neurosurgery·Carolina KachramanoglouDavid Choi

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