Clinical Use of Partial Median Nerve Fascicle Transfer for Reconstruction of Elbow Flexion

Objective: To summarize the clinical effects of partial median nerve fascicle transfer to biceps muscle branch of the musculocutaneous nerve for reconstruction of elbow flexion.Methods:5 patients who sustained injury of the upper trunk of brachial plexus underwent nerve transfer using a part of the median nerve to the biceps muscular branch of the musculocutaneous nerve.The posteromedial portion accounting for 1/ 6 of the median nerve was harvested as neurotizer.Results: The effects of the donor median nerve function were minor after operation.All patients had numb and pain in the hand,but there were no significant effects of hand strength.Follow-up period ranged from one to three years.According to biceps strength and range of motion of elbow flexion,3 cases are good,2 are okay.Conclusion:Partial median nerve transfer might be a simple,safe and effective procedure for brachial plexus upper trunk avulsions and elbow flexion reconstruction.