Abstract

Contralateral C7 nerve transfer has been used in treating brachial plexus avulsion injury since 1986. During the past two and half decades, much has been achieved, yet more needs to be explored. In this review article, the indications, technical details, outcome and pitfalls of this technique are summarized.

Highlights

  • It has been 25 years since the world’s first case of contralateral C7 nerve transfer finished in our clinic in August 1986 [1]

  • We summarize our experiences regarding this technique

  • Results from different authors In our adult series of contralateral C7 transfer followed up for over 2 years, the overall motor recovery rate (> = M3) was 50-80% depending on different recipient nerves and the sensory recovery rate (> = S3) was above 60%

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Summary

Introduction

It has been 25 years since the world’s first case of contralateral C7 nerve transfer finished in our clinic in August 1986 [1]. Based on our observation of over 1000 cases of brachial plexus injuries, no patient suffered functional loss from single C7 root injury, we postulated that C7from the healthy limb may be sacrificed and used as a donor nerve to reconstruct the injured plexus.

Results
Conclusion

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