Brachial Plexus >>Introduction

Loss of upper-extremity function following a Global  BPI results in devastating functional deficits that require complex surgical reconstruction. Because of advances and innovations in surgical techniques, elbow flexion and can be reliably restored.

Recently, innovations have led to additional surgical reconstructive options that can be expected to improve functional outcomes. In such patients reconstructive surgery in the form of micro vascular transfer of Gracilis muscle to the paralyzed limb is an integral part of the total reconstructive plan. In this type of reconstruction the Gracilis muscle form the thigh is taken along with its vascular pedicle namely the artery and the accompanying vein and the motor Nerve. The muscle is brought to the axilla and the anastomosis is carried out with the thoracoacromial vessels in the chest wall. The motor nerve is the coapted with the spinal accessory nerve. The result is seen between 9-12 months when the muscle gets innervated and starts to contract and makes elbow flex.

Pre operative Pictures

Inter operative Pictures

Post operative Picture