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Published on: October 19, 2021
Thoracodorsal nerve transfer for triceps reinnervation in partial brachial plexus injuries
Francisco Soldado1, Marcos F Ghizoni2, Jayme Bertelli2,3
1Department of Orthopedic Surgery, Pediatric Upper Extremity Surgery and Microsurgery, Hospital Sant Joan De Deu, "Universitat De Barcelona,", Barcelona, Spain.
Purpose:
To report the clinical outcomes of thoracodorsal nerve (TDN) transfers to the triceps motor branches for elbow extension restoration in patients with partial brachial plexus injuries (BPI).
Methods:
Eight male patients of mean age 23 years and suffering from a partial BPI underwent direct coaptation of the TDN to the nerve of the upper medial and long heads of the triceps, an average 6 months after their accident.
Results:
Seven patients achieved M4 elbow extension strength and one patient M3, according to the BMRC scale, after a mean follow-up of 21 months.
Discussion:
Direct TDN transfer might be a valid surgical procedure for the restoration of elbow extension in patients with partial BPI.
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