Abstract
Nerve transfers which have worked for me
Highlights
From 10th Congress of the Asia-Pacific Federation of Societies of Surgery fo the Hand and the 6th Congress of Asia-Pacific Federation of Societies of Hand Therapists Kuala Lumpur, Malaysia. 2-4 October 2014
Distal nerve transfers have contributed enormously to the strategies in brachial plexus reconstruction. They help to overcome the pitfalls of nerve grafting from proximal root stumps and work, effectively, as tendon transfers
External rotation is seldom seen in such patients and a derotation osteotomy is necessary later on
Summary
From 10th Congress of the Asia-Pacific Federation of Societies of Surgery fo the Hand and the 6th Congress of Asia-Pacific Federation of Societies of Hand Therapists Kuala Lumpur, Malaysia. 2-4 October 2014. Use of the intercostals for transfer to the musculocutaneous nerve was first described, using a graft of the ulnar nerve, in the 1960s, transfer of the spinal accessory to the suprascapular nerve was the first direct transfer for restoration of rotator cuff function. In the presence of other functioning muscles such as the pectoralis major, latissimus dorsi and teres major, abduction up to 90 degrees is consistently achieved (i.e. in C56 brachial plexus injuries).
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