Department of Orthopedic Surgery and Traumatology, Saint Georges University Medical Center, Balamand University, P.O. Box 166378, Achrafieh, Beirut, 1100 2807, Lebanon; Department of Orthopedic Surgery and Traumatology, Clemenceau Medical Center Affiliated With Johns Hopkins International, Clemenceau Beirut, Lebanon.
Department of Orthopedic Surgery and Traumatology, Clemenceau Medical Center Affiliated With Johns Hopkins International, Clemenceau Beirut, Lebanon.
Injury. 2020 Dec;51(12):2804-2810. doi: 10.1016/j.injury.2020.04.015. Epub 2020 May 21.
Injury of the brachial plexus and peripheral nerve often result in significant upper extremity dysfunction and disability. Nerve transfers are replacing other techniques as the gold standard for brachial plexus and other proximal peripheral nerve injuries. These transfers require an intimate knowledge of nerve topography, a technically demanding Intraneural dissection and require extensive physical therapy for retraining. In this review, we present a summary of the most widely accepted nerve transfers in the upper extremity described in the current literature.
臂丛和周围神经损伤常导致上肢严重功能障碍和残疾。神经转移术正在取代其他技术，成为臂丛和其他近端周围神经损伤的金标准。这些转移术需要对神经解剖有深入的了解，需要进行技术要求很高的神经内解剖，并需要进行广泛的物理治疗以重新训练。在这篇综述中，我们总结了目前文献中描述的上肢最广泛接受的神经转移术。
