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Total brachial plexus palsy (TBPP) accounts for nearly 50% of all brachial plexus injuries. Since achieving a good functional hand was almost impossible, the aim was settled to get a good shoulder and elbow function. It was Gu, who popularized the concept of utilizing contralateral C7 (CC7) with vascularized ulnar nerve graft (VUNG) to get some hand function. We have modified it to suit our patients by conducting it as a single-stage procedure, thereby trying to get a functional upper limb. From 2009 to 2014, we had 20 TBPP patients. We feel nerve reconstruction is always better than any other salvage procedure, including free muscle transfer. We modified Gu's concept and present our concept of total nerve reconstruction as "ALL IN ONE OR (W)HOLE IN ONE REPAIR." All patients able to move their reconstructed limbs independently or with the help of contralateral limbs. Three patients developed hook grip and one patient was able to incorporate limbs to do bimanual jobs. One important observation is that all the reconstructed limbs regain the bulk, and to a certain extent, the attitude and appearance looks normal, as patients no longer hide it or hang it in a sling. Adult brachial plexus injury itself is a devastating injury affecting young males. By doing this procedure, the affected limb is not dissociated from the rest of the body and rehabilitation can be aimed to get a supportive limb.

全臂丛神经麻痹（TBPP）占所有臂丛神经损伤的近50%。由于几乎不可能获得功能良好的手部，因此目标确定为获得良好的肩部和肘部功能。是顾玉东推广了利用对侧C7（CC7）与带血管的尺神经移植（VUNG）来获得一些手部功能的概念。我们对其进行了改进以适合我们的患者，将其作为单阶段手术进行，从而试图获得一个功能正常的上肢。

2009年至2014年，我们共收治了20例TBPP患者。我们认为神经重建总是优于任何其他挽救手术，包括游离肌肉移植。我们改进了顾玉东的概念，并提出了我们的全神经重建概念，即“一体化或（全）整体重建修复”。

所有患者都能够独立或在对侧肢体的帮助下移动其重建肢体。3例患者形成了钩状抓握，1例患者能够使用重建肢体进行双手作业。一个重要的观察结果是，所有重建肢体都恢复了体积，并且在一定程度上，姿态和外观看起来正常，因为患者不再隐藏或用吊带悬挂该肢体。

成人臂丛神经损伤本身是一种影响年轻男性的严重损伤。通过进行此手术，受影响的肢体不会与身体其他部位分离，康复的目标可以是获得一个有辅助功能的肢体。