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- W2360759908 abstract "Nerve transfer is a main method of treating nerve root avul sion of brachial plexus. The transferred nerves from extra-brachial plexus incl ude intercostal nerves(Tsuyama 1969), accessory nerve(Kotani 1970), motor branch es of cervical plexus(Brunelli 1977), phrenic nerve(Gu 1970), contralateral C7 r oot(Gu 1986), and so on. The contralateral C7 root transfer is a safe and effect ive method, which involves the most transferred nerve fibres and is widly applie d in China and abroad. The current phrenic nerve transfer, in which full-length phrenic nerve is harvested under thoracoscope, can effectively shorten the time of nerve regeneration. For the C5,C6 root avulsion, modified Oberlins method, or intra-brachial plexus transfer of partial bundles of ulnar or median nerves to repair the biceps branch of the musculocutaneous nerve, is an easy operatio n and the recovery of elbow flexion is surely positive. Ipsilateral C7 root tran sfer is also an effective operarive method and can restore the function of some muscle groups. For C8,T1 root avulsion, the transfer of branch to brachial muscl e of the musculocutaneous nerve can restore the finger flexion by repairing the branchs to fingers flexion muscles or anterior interosseous nerve of the median nerve. For the total root avulsion of brachial plexus, double gracilis transplan tation combined with nerve transfer, a modified Dois method, can better restor e the prehension function of the hand. The operation of limb shortening combined with contralateral C7 root transfer which directly repairs the median and ulnar nerves, can restore the function of fingers flexion, but the instric muscle fun ction of hand can not be restored. How to reconstruct the instric muscle functio n of hand is still a problem which needs further research." @default.
- W2360759908 created "2016-06-24" @default.
- W2360759908 creator A5090802873 @default.
- W2360759908 date "2004-01-01" @default.
- W2360759908 modified "2023-09-26" @default.
- W2360759908 title "Treatment of nerve root avulsion of brachial plexus" @default.
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