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| Name | Contralateral C7 Nerve Transfer with Direct Coaptation to Restore Lower Trunk Function After... |
| Video Uploader | Video From JBJSmedia |
| Upload Date | This Video Uploaded At 06-10-2017 13:15:00 |
| Video Discription | Full video article: http://journals.lww.com/jbjsest/Fulltext/2014/04010/Contralateral_C7_Nerve_Transfer_with_Direct.5.aspx We describe a new technique for treating traumatic brachial plexus avulsion injury with a contralateral C7 nerve transfer with direct coaptation that shortens the time to muscle reinnervation. In patients with a total brachial plexus avulsion injury, the contralateral C7 nerve, which provides sufficient myelinated axons, has been used as a donor nerve to repair the injured median nerve. The results of using this technique for restoration of finger flexion have been unsatisfactory, mainly due to the long length of the interpositional nerve graft (placed via the subcutaneous route), which is associated with an extended time for nerve regeneration that inevitably results in irreversible muscle atrophy. To improve the results of finger-flexion reconstruction, we designed a new contralateral C7 nerve transfer procedure that is performed via a shorter, modified prespinal route with direct coaptation of the contralateral C7 nerve to the lower trunk to restore finger flexion, thereby shortening the time to reinnervation of the target muscle. The contralateral C7 nerve is also transferred to the musculocutaneous nerve with interpositional bridging by the medial antebrachial cutaneous nerve arising from the lower trunk. |
| Category | Education |
| Tags | orthopedic | orthopaedic | video article | surgical procedure | surgical video | EST | journal | bone | joint | surgery | essential surgical techniques | key procedures | Nerve Transfer |
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