Millesi H
J Hand Surg Am. 1977 Sep;2(5):367-78. doi: 10.1016/s0363-5023(77)80046-4.
Exploration of the brachial plexus was done as an elective procedure in 56 patients with complete or partial lesions. The indications were based on clinical findings, a Tinel-Hoffman sign indicating that at least one root was available for direct repair, or a cessation of signs of progressive recovery. In young patients with supraganglionic lesions and evidence of root avulsion, nerve grafts from intercostals to various portions of the plexus were done. Evaluation of the results of motor functions showed that 38 of 54 (70 percent) recovered a useful motor function in at least one important area. There were two postoperative hematomas leading to delayed healing and failure of nerve recovery. Two patients had temporary loss of power in uninvolved muscles but both recovered satisfactory function. Only one patient had a persistent pain syndrome. Two failures were due to the late operation (19 months after injury) and one because of a 15 cm. which was grafted.
对56例完全或部分臂丛神经损伤患者进行了臂丛神经探查术，作为择期手术。手术指征基于临床检查结果、Tinel-Hoffman征（表明至少有一根神经根可直接修复）或进展性恢复体征停止。对于年轻的神经节上病变且有神经根撕脱证据的患者，进行了从肋间神经到臂丛神经各部分的神经移植。运动功能结果评估显示，54例患者中有38例（70%）在至少一个重要区域恢复了有用的运动功能。有2例术后血肿导致愈合延迟和神经恢复失败。2例患者未受累肌肉出现暂时无力，但均恢复了满意的功能。只有1例患者有持续性疼痛综合征。2例手术失败是由于手术延迟（受伤后19个月），1例是由于移植了15厘米长的神经。
