2013
DOI: 10.3171/2013.6.jns122211
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End-to-side neurorrhaphy in brachial plexus reconstruction

Abstract: Object. Although a number of theoretical and experimental studies dealing with end-to-side neurorrhaphy (ETSN) have been published to date, there is still a considerable lack of clinical trials investigating this technique. Here, the authors describe their experience with ETSN in axillary and musculocutaneous nerve reconstruction in patients with brachial plexus palsy.Methods. From 1999 to 2007, out of 791 reconstructed nerves in 441 patients treated for brachial plexus injury, the authors performed 21 axillar… Show more

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Cited by 18 publications
(19 citation statements)
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“…18 The diameter and the number of nerve fibers of each nerve root differs in cervical, thoracic and lumbar segments 38 and the better knowledge about preserved nerve fibers continuity provides basic data for future neuroanastomosis. 27 Preserved cutaneous SP proves that spinal cord circuit is functionally intact. This observation may thus have implications in reconstructive surgery as well as in neurorehabilitation with better functional restoration.…”
Section: Discussionmentioning
confidence: 99%
“…18 The diameter and the number of nerve fibers of each nerve root differs in cervical, thoracic and lumbar segments 38 and the better knowledge about preserved nerve fibers continuity provides basic data for future neuroanastomosis. 27 Preserved cutaneous SP proves that spinal cord circuit is functionally intact. This observation may thus have implications in reconstructive surgery as well as in neurorehabilitation with better functional restoration.…”
Section: Discussionmentioning
confidence: 99%
“…So far, numerous methods of musculocutaneous nerve neurotization have been defined. Successful reinnervation with this technique has been obtained using: (1) the medial pectoral nerve (84-91%), (2) the intercostal nerves (44-70%), (3) phrenic nerve (66%), and (4) spinal accessory nerve (50-88%) as donor nerves [1,20]. The intercostal nerves may be destructed in patients with rib fractures.…”
Section: Nerve Transfersmentioning
confidence: 99%
“…The major benefit of this technique is the option to create a distal suture close to the target muscle [18,24,25]. However, we do not use this particular method in musculocutaneous nerve reconstruction because we have had very positive experiences using the pectoral nerves for neurotization of this nerve [20].…”
Section: Fascicular Transfermentioning
confidence: 99%
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