Nerve Transfers for Traumatic Brachial Plexus Injury: Advantages and Problems
Nerve Transfers for Traumatic Brachial Plexus Injury: Advantages and Problems
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DOI：
10.1007/s12593-011-0031-1
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发表时间：
2011-01-01
影响因子：
0.4
通讯作者：
Hems, Tim
中科院分区：
文献类型：
--
作者：
Hems, Tim
近年来，神经移位已越来越多地用于扩大重建臂丛神经重建的选择。神经移植是将可消耗的神经连接到更重要的神经以重新支配该神经的过程。本文概述了苏格兰国家臂丛神经损伤服务的经验，因为我们使用的神经转移增加。将副神经转移至肩胛上神经重建瘫痪肩关节的结果得到了改善。胸内侧肌皮神经移位术已被证明是恢复C5、6和C5、6、7损伤患者屈肘功能的可靠方法。神经转移的问题包括供体神经区域的发病率、共收缩和供体神经的预先存在的损伤。在这些程序中存在着各种风险，应在个别情况下加以权衡。
In recent years nerve transfers have been increasingly used to broaden reconstructive options for brachial plexus reconstruction. Nerve transfer is a procedure where an expendable nerve is connected to a more important nerve in order to reinnervate that nerve. This article outlines the experience of the Scottish National Brachial Plexus Injury Service as our use of nerve transfers has increased. Outcomes have improved for reconstruction of the paralysed shoulder using transfer of the accessory nerve to the suprascapular nerve. Medial pectoral to musculocutaneous nerve transfer has proved reliable for restoration of elbow flexion for patients with C5,6 and C5,6,7 injuries. Problems with nerve transfers include morbidity in the donor nerve territory, co- contraction, and pre-existing injury to the donor nerve. There is a balance of risks in these procedures which should be weighed up in individual cases.