Restauration de la flexion du coude dans les paralysies traumatiques C5-C6 et C5-C6-C7 : étude bicentrique rétrospective comparant simple versus double neurotisation

Is one nerve transfer enough? A systematic review and pooled analysis comparing ulnar fascicular nerve transfer and double ulnar and median fascicular nerve transfer for restoration of elbow flexion after traumatic brachial plexus injury

“…Although there is no direct comparison between the techniques, the study found that for all subjects average elbow flexion increased significantly over 2 years and at final follow‐up (Wang et al, ). Barthel et al () compared 14 patients who underwent ulnar fascicular transfer and 15 patients who underwent double fascicular transfer for traumatic BPI. This study found that, in terms of elbow flexion recovery, there were no significant differences between groups (Barthel et al, ).…”

“…In double fascicular transfer, in addition to ulnar nerve fascicular transfer to the MCN, motor fascicles from the median nerve are also transferred to the MCN to innervate the brachialis muscle (Le Hanneur et al, ). Multiple studies have been performed in small cohorts and have found satisfactory outcomes using both techniques (Barthel et al, ; Le Hanneur et al, ; Wang, Rancy, Lee, Feinberg, & Wolfe, ). The potential gains in elbow flexion strength with additional nerve transfer in these patients must be weighed with the morbidity of harvesting more functional nerve tissue.…”

“…Three patients in their cohort were treated with ulnar fascicular transfer to the MCN and one patient was treated with double fascicular transfer. Although there is no direct comparison between the techniques, the study found that for all subjects average elbow flexion increased significantly over 2 years and at final follow-up(Wang et al, 2016) Barthel et al (2014). compared 14 patients who underwent ulnar fascicular transfer and 15 patients who underwent double fascicular transfer for traumatic BPI.…”

Results of Nerve Transfer in C5-C6 Traumatic Brachial Plexus Palsy

“…Barthel et al [15] compares the results between single and double transfer and finds 60% strength at M4 for single and 85% for double transfer.…”

Ulnar and Median Fascicular Transfers for Elbow Flexion-Predicting Outcomes in a Heterogeneous Patient Group and Implications for Surgical Planning

“…One year later in 2006, Liverneaux et al also reported success in ten patients treated with this technique (18), and these results have been validated by subsequent publications (24). Both early authors, and others since, agree that double fascicle transfers result in superior results (18,22,(25)(26)(27)(28). Carlsen et al retrospectively compared their results from single and double nerve fascicle transfers, and highlight that those patients receiving single nerve transfers (SFT) had significantly worse preoperative function (21).…”