TY - JOUR
T1 - Brachial plexus injury
T2 - Nerve reconstruction and functioning muscle transplantation
AU - Chuang, David Chwei Chin
PY - 2010
Y1 - 2010
N2 - Adult brachial plexus injury remains a dilemma to a reconstructive microsurgeon, especially when attempting to reconstruct cases of total root avulsion. Different degrees and different levels of injury require different strategies of reconstruction. The purpose of this article is to illustrate the author's reconstructive strategy in correlation with the injury level of classification. Nerve transfer, functioning free muscle transplantation, and other palliative surgery are reconstructive options for level 1 injuries. Neurolysis, nerve repair, nerve grafts (free nerve graft or vascularized ulnar nerve graft), nerve transfer if associated with level 1 lesion in other spinal nerves, and palliative reconstruction are chosen options for level 2, 3, and 4 lesions. A clavicle osteotomy is often required in level 3 lesions. Nerve grafts are frequently applied in level 4 lesions, which result in less aberrant reinnervation and a better prognosis.
AB - Adult brachial plexus injury remains a dilemma to a reconstructive microsurgeon, especially when attempting to reconstruct cases of total root avulsion. Different degrees and different levels of injury require different strategies of reconstruction. The purpose of this article is to illustrate the author's reconstructive strategy in correlation with the injury level of classification. Nerve transfer, functioning free muscle transplantation, and other palliative surgery are reconstructive options for level 1 injuries. Neurolysis, nerve repair, nerve grafts (free nerve graft or vascularized ulnar nerve graft), nerve transfer if associated with level 1 lesion in other spinal nerves, and palliative reconstruction are chosen options for level 2, 3, and 4 lesions. A clavicle osteotomy is often required in level 3 lesions. Nerve grafts are frequently applied in level 4 lesions, which result in less aberrant reinnervation and a better prognosis.
KW - Brachial plexus injury
KW - functioning muscle transfer
KW - reconstruction
UR - http://www.scopus.com/inward/record.url?scp=79955394826&partnerID=8YFLogxK
U2 - 10.1055/s-0030-1253242
DO - 10.1055/s-0030-1253242
M3 - 文章
AN - SCOPUS:79955394826
SN - 1535-2188
VL - 24
SP - 57
EP - 66
JO - Seminars in Plastic Surgery
JF - Seminars in Plastic Surgery
IS - 1
ER -