Nerve transfers in brachial plexus palsies

被引：61
|
作者：
Oberlin, C. [1 ]
Durand, S. [1 ]
Belheyar, Z. [1 ]
Shafi, A. [1 ]
David, E. [1 ]
Asfazadourian, H. [1 ]
机构：
[1] Hop Bichat Claude Bernard, Serv Orthopedie & Traumatol, F-75018 Paris, France
来源：
CHIRURGIE DE LA MAIN | 2009年 / 28卷 / 01期
关键词：
Brachial plexus; Nerve transfers; Nerve grafts; CONTRALATERAL C7 TRANSFER; BICEPS MUSCLE; ULNAR NERVE; ROOT TRANSFER; AVULSION; PART; TRANSECTION; INJURY;
D O I：
10.1016/j.main.2008.11.010
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
It has been many years now since the introduction of nerve transfers for repair of traumatic brachial plexus lesions and more recently, we have seen its application in the field of obstetric brachial plexus palsy. These nerve transfers do not represent an alternative to anatomical repair by means of nerve grafting, but represent an additional possibility to increase the reconstructive options and improve the final results. This pushes the surgeon to decide: which function is to he restored by nerve grafting, which one by nerve transfer? What is the more reliable procedure? Does the age of the patient, the delay after the accident, or the type of accident influence this choice? If we add in the possibilities of palliative treatment, one can state that many therapeutic options are available today for brachial plexus reconstruction, and that no real consensus does exist. But some tendencies, some trends are apparent. (c) 2008 Elsevier Masson SAS. All rights reserved.
引用
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页码：1 / 9
页数：9
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