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Phrenic nerve transfer for brachial plexus motor neurotization
Author(s) -
YuDong Gu,
MinMing Wu,
YiLu Zhen,
JiaAo Zhao,
GaoMeng Zhang,
DeSong Chen,
JiGeng Yan,
XiaoMing Cheng
Publication year - 1989
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.1920100407
Subject(s) - medicine , brachial plexus , phrenic nerve , avulsion , surgery , musculocutaneous nerve , anesthesia , nerve root , motor function , respiratory system , anatomy , physical medicine and rehabilitation
Abstract We report a series of 164 patients who underwent phrenic neurotization to elements of the brachial plexus with root avulsion injuries. Recipient nerves included musculocutaneous nerve in 125 patients (78 direct neurotizations and 48 with intervening autograft), median nerve in 10 patients, and a variety of other nerves in 28 patients. Sixty‐five patients presented a follow‐up period of 2 or more years. Of this group, 55 patients (84.6%) achieved a recovery of M‐3 or better. We observed no long‐term deleterious effects on respiratory function.