J Korean Soc Surg Hand.  2017 Sep;22(3):147-153. 10.12790/jkssh.2017.22.3.147.

Nerve Repair and Nerve Grafting in Brachial Plexus Injuries

Affiliations
  • 1Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. orth4535@gmail.com

Abstract

Brachial plexus injuries (BPI) can have devastating effects on upper extremity function, however, treatment in this injuries remains a difficult problem. Several kinds of surgical methods have been used to treat BPI, and nerve repair and nerve grafting have been traditionally used in postganglionic injury of brachial plexus. Because the several studies reported that nerve transfer to restore shoulder and elbow function has yielded superior results to historical reports for nerve grafting in partial BPI, the indication of nerve repair and nerve grafting has been decreased. Nonetheless, nerve repair and nerve grafting is still useful in focal damage in brachial plexus, such as laceration or gunshot wound and postganglionic neuroma in continuity without conduction of nerve action potential. In this paper, we described the basic concept, detailed indication and outcomes of nerve repair or nerve grafting in BPI.

Keyword

Brachial plexus injuries; Nerve graft

MeSH Terms

Action Potentials
Brachial Plexus*
Elbow
Lacerations
Nerve Transfer
Neuroma
Shoulder
Transplants*
Upper Extremity
Wounds, Gunshot
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