Forli A, Bouyer M, Aribert M, Curvale C, Delord M, Corcella D, Moutet F
SOS main Grenoble, unité de chirurgie réparatrice, de la main et des brûlés, hôpital A.-Michallon, CHU de Grenoble, avenue du Marquis-de-Grésivaudan, BP 217, 38043 Grenoble cedex 09, France.
SOS main Grenoble, unité de chirurgie réparatrice, de la main et des brûlés, hôpital A.-Michallon, CHU de Grenoble, avenue du Marquis-de-Grésivaudan, BP 217, 38043 Grenoble cedex 09, France.
Hand Surg Rehabil. 2017 Jun;36(3):151-172. doi: 10.1016/j.hansur.2016.11.007. Epub 2017 May 3.
While upper limb nerve transfers were first described and performed several years ago, they have seen expanded use in the past 20 years. Initially indicated for surgical repair of brachial plexus injuries with nerve root avulsion, the indications have been extended to post-ganglionic lesions because of the excellent results of certain intraplexus nerve transfers. The traditional nerve repair techniques - primary suture and nerve grafting - form the basis of nerve surgery. Although nerve transfer does not replace them, they are a useful supplement as they provide a targeted approach to reinnervation and recovery of key functions of the upper limb. The goal of this review is to provide an overview of the various possible transfers by the function being restored and the quality of the outcomes.
虽然上肢神经移位术早在数年前就已被描述并开展，但在过去20年中其应用范围有所扩大。最初该手术适用于神经根撕脱性臂丛神经损伤的外科修复，由于某些神经丛内神经移位术取得了优异效果，其适应证已扩展至节后损伤。传统的神经修复技术——一期缝合和神经移植——构成了神经外科手术的基础。尽管神经移位术无法取代它们，但作为一种有用的补充，神经移位术提供了一种有针对性的方法来实现上肢关键功能的再支配和恢复。本综述的目的是根据恢复的功能和治疗效果的质量，对上肢神经移位术的各种可能术式进行概述。
