Values of Nerve Transfer in Upper Limb Nerve Injury

Document Type : Original Research Papers

Authors

1 Department of Plastic & Reconstructive Surgery, Zagazig University hospitals, Egypt.

2 Department of General Surgery Benha University hospitals, Egypt.

Abstract

Background :Nerve transfer surgery involves taking nerve branches from a neighboring nerve and redirecting them to the distal end of the injured nerve.  the aim of the study is to evaluate outcomes of nerve transfer surgeries and their outcomes as a method of nerve repair , the patients were tested for full labs and pre operative EMG and nerve  conduction tests ,MRI were done the procedures were followed for about 6months  and comparing  motor power according to scale of medical research council and DASH score preoperatively and post operatively the results on 20 patients were done at zagazig university hospitals The mean age of the studied patients was 23.3 ±11.3 years, more than half had an injury at the brachial plexus (55.0%) The most frequent procedure done was Spianl accessory Nerve to Supra scapular nerve transfer (31.9%), followed by anterior interosseous nerve to the deep motor branch of the ulnar nerve transfer (26.5%), Post-operatively, about one third (32.4%) had M5 muscle power according to Medical Research Council scale (MRC) and M4 muscle power  26.5% compared to  preoperatively two-thirds (61.8%) had M0 muscle power, and about one-third (38.2%) had M1 muscle  according to motor power scale, The median DASH score  declined from 30 pre-operative to 26 post-operative (P = 0.001) .conclusion Nerve transfer is a good method of nerve repair with best outcome on proper time of  intervention and strict rehabilitation program

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