Nerve Repair and Nerve Grafting in Brachial Plexus Injuries

Lee,  Tae Kyoon; Yoon,  Jun O; Shin,  Young Ho; Kim,  Jae Kwang

doi:2017.22.3.147

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Journal of the Korean Society for Surgery of the Hand 2017;22(3):147-153.
Published online September 30, 2017.
DOI: https://doi.org/10.12790/jkssh.2017.22.3.147

Nerve Repair and Nerve Grafting in Brachial Plexus Injuries

Tae Kyoon Lee, Jun O Yoon, Young Ho Shin, Jae Kwang Kim

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

Received: 3 August 2017 • Revised: 30 August 2017 • Accepted: 30 August 2017

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.

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