Brachial Plexus

Complications of Intercostal Nerve Transfer for Brachial Plexus Reconstruction

Kovachevich R, Kircher MF, Wood CM, et al (Mayo Clinic College of Medicine, Rochester, MN; Mayo Clinic, Rochester, MN) J Hand Surg 35A:1995-2000, 2010^§

Abstract

Purpose

Although numerous publications discuss outcomes of intercostal nerve transfer for brachial plexus injury, few publications have addressed factors associated with intercostal nerve viability or the impact perioperative nerve transfer complications have on postoperative nerve function. The purposes of this study were to report the results of perioperative intercostal nerve transfer complications and to determine whether chest wall trauma is associated with damaged or nonviable intercostal nerves.

Methods

All patients who underwent intercostal nerve transfer as part of a brachial plexus reconstruction procedure as a result of injury were identified. A total of 459 nerves in 153 patients were transferred between 1989 and 2007. Most nerves were transferred for use in biceps innervation, free-functioning gracilis muscle innervation, or a combination of the two. Patient demographics, trauma mechanism, associated injuries, intraoperative nerve viability, and perioperative complications were reviewed.

Results

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