Prehension is a basic human function. The surgical procedure for reconstruction in complete brachial plexus injuries of all five nerve roots should take into account how to regain the grip function. There are several approaches to restore this basic hand function, however, powerful grip should be greately appreciated more than weak key pinch which is used to be reconstructed based on the Moberg's rationale. Simultaneous reconstruction of elbow and finger function with free muscle and nerve transfers and its long-term results are described.
