Nerve transfers which have worked for me

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Nerve transfers which have worked for me

Distal nerve transfers have contributed enormously to the strategies in brachial plexus reconstruction. They help to overcome the pitfalls of nerve grafting from proximal root (or peripheral nerve) stumps and work, effectively, as tendon transfers. Although use of the intercostals for transfer to the musculocutaneous nerve was first described, using a graft of the ulnar nerve, in the 1960s, tra...

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Nerve transfers for severe nerve injury.

Nerve transfers are becoming used increasingly for repair of severe nerve injures, especially brachial plexus injuries, where the proximal spinal nerve roots have been avulsed from the spinal cord. The procedure essentially involves the coaptation of a proximal foreign (donor) nerve to the distal denervated (recipient) nerve, so that the latter's end-organs will be reinnervated by the donated a...

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Nerve transfers for brachial neuralgia

Motor function, rather than sensory function, is the primary concern for most brachial plexus surgeons. After root avulsions from the spinal cord, numbness in the affected limb may be associated with extreme, almost unbearable, intractable pain. Deafferent pain is the result of avulsion of the root from the spinal cord. Pain from the brachial plexus avulsion probably arises from the disinhibiti...

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Intraplexal nerve transfers

Intraplexal nerve transfer is defined as nerve transfer of a nerve within the brachial plexus with intact spinal cord connections to a more important injured nerve. For elbow flexion, the most popular one for the upper arm brachial plexus injury is the “Oberlin” nerve transfer. Transferring a part of the ulnar nerve to the branch to the biceps (Oberlin 1) and possibly transferring a part of the...

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Newer nerve transfers

In nerve transfer, we transfer a physiologically active nerve to a distal, more important but irreparably paralyzed nerve. This surgical procedure is best done early within 6 months of the injury. Nerve transfer can be broadly classified into four categories: (1) Extraplexal; (2) Intraplexal and (3) Targeted nerve transfer. Prime extraplexal donors are the spinal accessory, phrenic and intercos...

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ژورنال

عنوان ژورنال: BMC Proceedings

سال: 2015

ISSN: 1753-6561

DOI: 10.1186/1753-6561-9-s3-a19