Brachial Plexus Injury-Adult-Oberlin Nerve Transfers

Video Transcription

Video Summary

In this video, the speaker demonstrates and explains the double fascicular nerve transfer for elbow flexion, also known as the Oberlin transfer. The speaker begins by making an incision in the medial arm to access the nerves involved. They locate and open the fascia of the biceps muscle and identify the nerves to biceps and brachialis. They explain that the nerve to brachialis can be found further down, below the vascular hilum. The speaker discusses the importance of assessing the length of the nerves to avoid leaving oneself short, as this would require an interposition nerve graft. They emphasize the need to be cautious and selective in choosing which fascicle to transplant. They then proceed to demonstrate the steps involved in identifying the nerves to be transferred. The speaker explains their reasoning behind their choices and discusses potential donor morbidity and expected outcomes. They demonstrate the coaptation of the nerves and discuss the importance of positioning and laxity. Throughout the video, the speaker references the techniques and experiences of Christoph Oberlin, a renowned surgeon in this field. The speaker concludes by discussing the potential application of this nerve transfer in children with incomplete reanimation and the importance of choosing the right fascicle for the specific goals of the surgery.

Keywords

double fascicular nerve transfer

elbow flexion

Oberlin transfer

nerve graft

fascicle transplant

Christoph Oberlin