Nerve Reconstruction for Brachial Plexus Palsy

Sample size: 93 publication Evidence: moderate

Author Information

Author(s): Bhatia Anil, Shyam Ashok K, Doshi Piyush, Shah Vitrag

Primary Institution: Joshi Hospital and Sancheti Institute of Orthopaedics and Rehabilitation, Pune, Maharashtra

Can nerve transfers restore function in patients with global brachial plexus palsy?

More than two thirds of patients with global brachial plexus injuries can regain acceptable function through early exploration and nerve transfer.

Recovery of biceps power ≥ grade 3 was achieved in 73% of patients.
Shoulder abduction was restored in 89% of patients who underwent spinal accessory nerve transfer.
Triceps power recovery was seen in 80% of patients with nerve transfer to the radial nerve.

Doctors can help people with serious arm injuries by connecting healthy nerves to the damaged ones, which can help them move their arms again.

A retrospective analysis of 93 cases of global brachial plexus palsies treated with nerve transfers over 13 years.

The study population is heterogeneous and the follow-up period is relatively short.

Age ranged from 4 to 51 years, with 63 patients in the 20 to 40 age group; only seven patients were female.

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