Surgical Management of Brachial Plexus Injury

Brachial plexus injury is an injury of the shoulder nerve that often happens in young adult. It has a relatively high disability rate. The clinical outcomes of brachial plexus surgery to date are still disappointing, especially for the total plexus injury that affects the C5-T1. However, expectations remain with the advance of technology and more recent surgery techniques, specifically the emergence of distal neural transfer. This was a retrospective study with 9 brachial plexus injury patients, since 2012-2017. The aim to evaluate surgical strategies outcome of the management. The principle of handling brachial plexus palsy when conservatives fail is surgery, like autologous graft, neural transfer, neurolysis, and direct suture.Improvement of elbow flexion is the utmost priority and shoulder stabilization as well. Various techniques are used lately, but to date,theyhave not been able to improve the functioning of the patient’s fingers.

Keywords: neural transfer,shoulder nerve, outcome, surgical management.