Brachial Plexus and Nerve Surgery Institute, Paris, France.
Hôpital Privé Paul d'Égine, Clinique la Francilienne, Champigny sur Marne, France.
J Hand Surg Eur Vol. 2024 Jun;49(6):734-746. doi: 10.1177/17531934241229201. Epub 2024 Feb 16.
Nerve grafting, tendon transfer and joint fusion are routinely used to improve the upper limb function in patients with brachial plexus palsies. Newer techniques have been developed that provide additional options for reconstruction. Nerve transfer is a tool for restoring upper limb function in total root avulsions where nerve grafting is not possible. In partial brachial plexus injuries, nerve transfers can greatly improve shoulder, elbow, wrist and hand function. Intraoperative electrical stimulation can be used to diagnose precisely which nerve is injured and to choose which nerve fascicles should be transferred. Finally, measuring the postoperative outcome can improve the evaluation of our techniques. The aim of this article was to present the current techniques used to treat patients with brachial plexus injury.
神经移植、肌腱转移和关节融合术通常用于改善臂丛神经损伤患者的上肢功能。已经开发出了一些新技术，为重建提供了更多的选择。神经转移是一种在无法进行神经移植时恢复完全神经根撕脱上肢功能的工具。在部分臂丛神经损伤中，神经转移可以大大改善肩部、肘部、腕部和手部的功能。术中电刺激可用于精确诊断损伤的神经，并选择应转移的神经束。最后，测量术后结果可以改善对我们技术的评估。本文旨在介绍目前用于治疗臂丛神经损伤患者的技术。
