W Institute for Hand and Reconstructive Microsurgery, W General Hospital, 1632 Dalgubeol-daero, Dalseo-gu, Daegu, South Korea; Division of Reconstructive Microsurgery, Department of Plastic Surgery, Chang Gung University, Chang Gung Memorial Hospital, 5 Fu-Hsing Street, Kuei-Shan, Taoyuan 333, Taiwan.
Division of Reconstructive Microsurgery, Department of Plastic Surgery, Chang Gung University, Chang Gung Memorial Hospital, 5 Fu-Hsing Street, Kuei-Shan, Taoyuan 333, Taiwan.
Clin Plast Surg. 2024 Oct;51(4):485-494. doi: 10.1016/j.cps.2024.02.014. Epub 2024 Apr 4.
Nerve transfer surgery utilizes the redundant and synergistic innervation of intact muscle groups to rehabilitate motor function. This is achieved by transferring functional nerves or fascicles to damaged nerves near the target area, thereby reducing the reinnervation distance and time. The techniques encompass both proximal and distal nerve transfers, customized according to the specific injury. Successful nerve transfer hinges on accurate diagnosis, innovative surgical approaches, and the judicious choice of donor nerves to maximize functional restoration. This study explores nerve transfer strategies and their integration with other procedures, emphasizing their importance in enhancing outcomes in brachial plexus injury management.
神经转移手术利用完整肌肉群的冗余和协同神经支配来恢复运动功能。这是通过将功能性神经或神经束转移到目标区域附近的受损神经来实现的，从而减少了再支配的距离和时间。这些技术包括近端和远端神经转移，根据特定的损伤进行定制。成功的神经转移取决于准确的诊断、创新的手术方法以及明智地选择供体神经，以最大限度地恢复功能。本研究探讨了神经转移策略及其与其他手术的结合，强调了它们在增强臂丛神经损伤管理效果中的重要性。
