Abstract
A 29-year-old male suffered from total loss of function of his left shoulder and upper limb after a traffic accident while riding a motorcycle. He was treated by a brachial plexus specialist at another hospital and managed surgically under the impression of total root avulsion.
Highlights
The free functioning muscle transfer (FFMT) was unsuccessful and the muscle power of the gracilis remained at M1 status without any progression
We identified viable stumps of C5 and C6 roots
We harvested two sural nerve grafts as extension cables of the C5 and C6 roots, and passed the distal ends under clavicle, pectoralis minor and major muscles to be buried in the dermis of the left axilla region
Summary
The free functioning muscle transfer (FFMT) was unsuccessful and the muscle power of the gracilis remained at M1 status without any progression. Division of Reconstructive Microsurgery, Department of Plastic Surgery, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan, Taiwan He was treated by a brachial plexus specialist at another hospital and managed surgically under the impression of total root avulsion.
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