Reconstruction of brachial plexus palsy (BPP) involves many difficult factors. We had 35 patients with BPP of whom 23 were surgically treated. The BPP palsy was total in 16 patients, upper in 6 and lower in 1. Ages at injury ranged from 15 to 39 years (mean 20.4). Motor cycle accidents caused the injury in 24 cases, while are cases was caused by a motor car and another after being caught in a rolling machine. Cerical roots were explored first and avulsion of the root confirmed by SEP. In post-ganglionic lesions, a nerve graft was carved out, and in pre-ganglionic lesions, the following operations performed. The inter costal nerve (C3, C4) was transfered to the musculocutaneous nerve in 15 patients; the accessory nerve was transferred to the musculo cutaneous nerve in 3 cases; the accessory nerve was transferred to the thoracodorsalis nerve in 1 cases; the intercostal nerve (C5, C6) was transferred to the thoracodorsalis nerve in 4 cases.
The following results were obtained evaluation using manual muscle testing in the years after the operation: 7 cases good, 1 case Fair, 3 cases Fain Fair. Are both categories Fair a if so, why are they not written as 4 cases Fair, and 1 case zero. Nine cases (69.2%) regained flexion of the elbow joint against gravity. The intercostal or accessory nerve transfer to the thoracodersalis nerve produced wrist flexion and inter constalnerve transfer to the ulnar nerve had wrist flexion.
