Collateral branches of the brachial plexus as donors in nerve transfers
Background/Aim. Nerve transfers in cases of directly irreparable, or high level extensive brachial plexus traction injuries are performed using a variety of donor nerves with various success but an ideal method has not been established. The purpose of this study was to analyze the results of nerv...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2012-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501200007S.pdf |
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| author | Samardžić Miroslav Rasulić Lukas Lakićević Novak Baščarević Vladimir Cvrkota Irena Mićović Mirko Savić Andrija |
| author_facet | Samardžić Miroslav Rasulić Lukas Lakićević Novak Baščarević Vladimir Cvrkota Irena Mićović Mirko Savić Andrija |
| author_sort | Samardžić Miroslav |
| collection | DOAJ |
| description | Background/Aim. Nerve transfers in cases of directly irreparable, or high level extensive brachial plexus traction injuries are performed using a variety of donor nerves with various success but an ideal method has not been established. The purpose of this study was to analyze the results of nerve transfers in patients with traction injuries to the brachial plexus using the thoracodorsal and medial pectoral nerves as donors. Methods. This study included 40 patients with 25 procedures using the thoracodorsal nerve and 33 procedures using the medial pectoral nerve as donors for reinnervation of the musculocutaneous or axillary nerve. The results were analyzed according to the donor nerve, the age of the patient and the timing of surgery. Results. The total rate of recovery for elbow flexion was 94.1%, for shoulder abduction 89.3%, and for shoulder external rotation 64.3%. The corresponding rates of recovery using the thoracodorsal nerve were 100%, 93.7% and 68.7%, respectively. The rates of recovery with medial pectoral nerve transfers were 90.5%, 83.3% and 58.3%, respectively. Despite the obvious differences in the rates of recovery, statistical significance was found only between the rates and quality of recovery for the musculocutaneous and axillary nerve using the thoracodorsal nerve as donor. Conclusion. According to our findings, nerve transfers using collateral branches of the brachial plexus in cases with upper palsy offer several advantages and yield high rate and good quality of recovery. |
| format | Article |
| id | doaj-art-6a97a94804cc4d9fa740b91d20d912fa |
| institution | OA Journals |
| issn | 0042-8450 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-6a97a94804cc4d9fa740b91d20d912fa2025-08-20T02:06:05ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502012-01-0169759460310.2298/VSP110301007SCollateral branches of the brachial plexus as donors in nerve transfersSamardžić MiroslavRasulić LukasLakićević NovakBaščarević VladimirCvrkota IrenaMićović MirkoSavić AndrijaBackground/Aim. Nerve transfers in cases of directly irreparable, or high level extensive brachial plexus traction injuries are performed using a variety of donor nerves with various success but an ideal method has not been established. The purpose of this study was to analyze the results of nerve transfers in patients with traction injuries to the brachial plexus using the thoracodorsal and medial pectoral nerves as donors. Methods. This study included 40 patients with 25 procedures using the thoracodorsal nerve and 33 procedures using the medial pectoral nerve as donors for reinnervation of the musculocutaneous or axillary nerve. The results were analyzed according to the donor nerve, the age of the patient and the timing of surgery. Results. The total rate of recovery for elbow flexion was 94.1%, for shoulder abduction 89.3%, and for shoulder external rotation 64.3%. The corresponding rates of recovery using the thoracodorsal nerve were 100%, 93.7% and 68.7%, respectively. The rates of recovery with medial pectoral nerve transfers were 90.5%, 83.3% and 58.3%, respectively. Despite the obvious differences in the rates of recovery, statistical significance was found only between the rates and quality of recovery for the musculocutaneous and axillary nerve using the thoracodorsal nerve as donor. Conclusion. According to our findings, nerve transfers using collateral branches of the brachial plexus in cases with upper palsy offer several advantages and yield high rate and good quality of recovery.http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501200007S.pdfbrachial plexuswounds and injuriesnerve transferthoracic nervesneurosurgical procedurestreatment outcome |
| spellingShingle | Samardžić Miroslav Rasulić Lukas Lakićević Novak Baščarević Vladimir Cvrkota Irena Mićović Mirko Savić Andrija Collateral branches of the brachial plexus as donors in nerve transfers Vojnosanitetski Pregled brachial plexus wounds and injuries nerve transfer thoracic nerves neurosurgical procedures treatment outcome |
| title | Collateral branches of the brachial plexus as donors in nerve transfers |
| title_full | Collateral branches of the brachial plexus as donors in nerve transfers |
| title_fullStr | Collateral branches of the brachial plexus as donors in nerve transfers |
| title_full_unstemmed | Collateral branches of the brachial plexus as donors in nerve transfers |
| title_short | Collateral branches of the brachial plexus as donors in nerve transfers |
| title_sort | collateral branches of the brachial plexus as donors in nerve transfers |
| topic | brachial plexus wounds and injuries nerve transfer thoracic nerves neurosurgical procedures treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501200007S.pdf |
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