NERVE TRANSFER IN THE TREATMENT OF ADULT BRACHIAL PLEXUS PALSY
Abstract:
The nerve transfer represents a current technique for the treatment of the adult posttraumatic
brachial plexus lesions, the objective of our study being to mention the neurotization variants used in our
clinic for the therapy of this paretic pathology and to present the results from the restoration of the
important motor functions of the superior limb. The surgical methods of nerve transfer used as donor nerve
intra and extraplexal sources which were neurotised to supra and infraclavicular branches of the brachial
plexus. The functional evaluation at 1 year postoperatively revealed a favourable evolution both for
shoulder abduction and for elbow flexion. We can conclude that the nerve transfer method has several
advantages over the other classical techniques of reconstruction of the brachial plexus but it requires
following some technical rules in order to obtain a positive surgical result. It has to be mentioned that the
final functional result is primary dependent from the surgical success but also from a series of other factors
that together can regain the reintegration of the patient in the working place and into the society.
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