Current status of brachial plexus reconstruction: restoration of hand function |
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| Authors: | Wehrli Laurent Bonnard Chantal Anastakis Dimitri J |
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| Affiliation: | a Service de Chirurgie Plastique et Reconstructive et Chirurgie de la main, Clinique de Longeraie, Université de Lausanne, 9 Avenue de la Gare, CH-1003 Lausanne, Switzerland
b Division of Plastic and Reconstructive Surgery, University of Toronto, 399 Bathurst Street, 2 EW Toronto, ON M5T 2S8, Canada |
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| Abstract: | Although restoration of hand function in brachial plexus patients remains a formidable challenge, the past decade has brought significant improvement in our ability to restore hand function even in the most severe cases. Today, the following options are available to restore hand function: (1) direct nerve repair; (2) nerve grafting; (3) nerve transfers from intraplexal or extraplexal sources; (4) tendon transfers (and tenodesis); (5) free functioning muscle transfer; (6) arthrodesis; and (7) a combination of these techniques. Opportunity for future improvement exists, and the next decade will no doubt bring further innovation. |
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| Keywords: | Brachial plexus Hand Reconstruction Peripheral nerve Nerve transfer Tendon transfer Free functioning muscle transfer |
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