Use of intercostal nerves for different target neurotization in brachial plexus reconstruction

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Neurotization from Two Medial Pectoral Nerves to Musculocutaneous Nerve in a Pediatric Brachial Plexus Injury

Traumatic brachial plexus injuries can be devastating, causing partial to total denervation of the muscles of the upper extremities. Surgical reconstruction can restore motor and/or sensory function following nerve injuries. Direct nerve-to-nerve transfers can provide a closer nerve source to the target muscle, thereby enhancing the quality and rate of recovery. Restoration of elbow flexion is ...

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Reanimation of elbow extension with intercostal nerves transfers in total brachial plexus palsies.

BACKGROUND Restoration of flexion in the elbow is the priority in the management of brachial plexus injuries. Current techniques of reconstructions, combining both nerve grafting and nerve transfer, allow more extensive repair, with additional targets: shoulder, elbow extension, hand. The transfer of intercostal nerves onto the nerve of the triceps long head is used to restore elbow extension. ...

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Phrenic nerve reconstruction by intercostal nerve neurotization on pigs

Background: Our aim was to investigate the motor outcome, effects on the diaphragm muscle, and delimit the regained nerve conduction capacity of the transected phrenic nerve, following its reconstruction to prepare the subjects to electrophrenic respiration. Methods: All one-year-old 12 healthy pigs (German Landrace) weighing 45 to 50 kg were used in the study. Three groups, each of which consi...

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Results of ulnar nerve neurotization to biceps brachii muscle in brachial plexus injury

OBJECTIVE To evaluate the factors influencing the results of ulnar nerve neurotization at the motor branch of the brachii biceps muscle, aiming at the restoration of elbow flexion in patients with brachial plexus injury. METHODS 19 patients, with 18 men and 1 woman, mean age 28.7 years. Eight patients had injury to roots C5-C6 and 11, to roots C5-C6-C7. The average time interval between injur...

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Clinical and neuropathological study about the neurotization of the suprascapular nerve in obstetric brachial plexus lesions

BACKGROUND The lack of recovery of active external rotation of the shoulder is an important problem in children suffering from brachial plexus lesions involving the suprascapular nerve. The accessory nerve neurotization to the suprascapular nerve is a standard procedure, performed to improve shoulder motion in patients with brachial plexus palsy. METHODS We operated on 65 patients with obstet...

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ژورنال

عنوان ژورنال: World Journal of Orthopedics

سال: 2013

ISSN: 2218-5836

DOI: 10.5312/wjo.v4.i3.107