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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

Collateral branches of the brachial plexus as donors in nerve transfers