Direct plexus repair by grafts supplemented by nerve transfers |
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Authors: | Kline David G Tiel Robert L |
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Institution: | Department of Neurosurgery, Louisiana State University Health Sciences Center, 1542 Tulane Avenue, Box T7-3, New Orleans, LA 70112-2822, USA. dkline@lsuhsc.edu |
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Abstract: | This article reviews the Louisiana State University Health Sciences Center experience with direct repair of brachial plexus lacerations, gunshot wounds, and stretch/contusive/avulsive injuries. In the stretch category, limited outcomes with direct repair have led to addition of nerve transfers rather than their exclusive use. It is important to per-form direct plexus repair in conjunction with nerve transfers in the same patient when-ever possible. The intent of such a "pants-over-vest" approach is to maximize axonal input to denervated structures. |
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