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Combined Nerve and Tendon Transfers for C7-T1 Brachial Plexus Avulsion Injury
Bin Xu1,2,3, Jing-Song Tong1,2,3, Zhen Dong1,2,3
1Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, People's Republic of China.
Neurosurgery
|April 21, 2022
Summary
Combined nerve and tendon transfers effectively restore hand function in patients with C7-T1 brachial plexus injuries. This surgical approach offers a reliable option for improving finger flexion, extension, and thumb opposition, enabling daily living activities.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Reconstructive Surgery
Background:
- C7-T1 brachial plexus avulsions often result in complete hand function loss.
- Reconstructing hand function after such injuries presents significant challenges.
Purpose of the Study:
- To evaluate the outcomes of combined nerve and tendon transfers for hand function recovery in C7-T1 brachial plexus injuries.
Main Methods:
- Eight patients with C7-T1 brachial plexus injuries underwent combined nerve and tendon transfers for hand function restoration.
- Procedures included transfers for finger flexion, extension, thumb opposition, and sensory reconstruction.
- Functional outcomes were assessed for flexion, extension, opposition, and sensation.
Main Results:
- Seven of eight patients achieved functional finger and thumb flexion (M3-M4).
- All patients regained finger extension (M3-M4) and thumb opposition.
- Protective sensation was restored in the ulnar hand, allowing patients to utilize their hands in daily activities.
Conclusions:
- Combined nerve and tendon transfers represent a reliable and effective strategy for hand function reconstruction.
- This approach is a viable option for patients suffering from C7-T1 brachial plexus injuries.
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