Brachial plexus injury represents a wide spectrum of a
complex presentation. The primary goal in salvaging upper
extremity function in adult patients is restoration of elbow
flexion, because it's highly needed in routine daily activity.
So the goal of this study study is to assess different primary
nerve procedures used in elbow flexion restoration after
traumatic brachial plexus palsy.
Method: From April 2014 to May 2017, 22 patients with
upper or total brachial plexus injury have had a primary
procedure for elbow flexion restoration; nerve repair, nerve
grafting and nerve transfer (double fascicular or intercostals)
were used.
Results: Of the 22 patients (one patient had bilateral
injury so 23 procedures were done). Double fascicular transfer
in 7 limbs, 12 intercostal nerve transfers in 12 limbs and
nerve grafts in 4 limbs. 16 cases (69.6%) could achieve M3
or more