exploration/nerve transplant op on tuesday

Treatments, Rehabilitation, and Recovery
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dalek84
Posts: 10
Joined: Thu Nov 25, 2010 7:06 am
Injury Description, Date, extent, surgical intervention etc: brachial plexus injury in left arm making it completely disabled after being knocked off my motorcyle on the 25th of september awaiting surgery on 21st of december as the docs say i have hornus syndrome indicating the nerves had been severed

exploration/nerve transplant op on tuesday

Post by dalek84 »

hey guys im going for a nerve transplant and exploration tuesday and im not sure what to expect i worry that it wont be sucessfull. my doc says that shoulder will hold itself up (think its called subflexed??) and my elbow will be able to bend but would only be strong enough to hold a bag of sugar for a min or two. Has anyone had this op? how long does it take to start feeling normal as its a long op between 5 an 7 hours. Has it worked for anybody else or does any1 have any more info about it
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Christopher
Posts: 845
Joined: Wed Jun 18, 2003 10:09 pm
Injury Description, Date, extent, surgical intervention etc: Date of Injury: 12/15/02

Level of Injury:
-dominant side C5, C6, & C7 avulsed. C8 & T1 stretched & crushed

BPI Related Surgeries:
-2 Intercostal nerves grafted to Biceps muscle,
-Free-Gracilis muscle transfer to Biceps Region innervated with 2 Intercostal nerves grafts.
-2 Sural nerves harvested from both Calves for nerve grafting.
-Partial Ulnar nerve grafted to Long Triceps.
-Uninjured C7 Hemi-Contralateral cross-over to Deltoid muscle.
-Wrist flexor tendon transfer to middle, ring, & pinky finger extensors.

Surgical medical facility:
Brachial Plexus Clinic at The Mayo Clinic, Rochester MN
(all surgeries successful)

"Do what you can, with what you have, where you are."
~Theodore Roosevelt
Location: Los Angeles, California USA

Re: exploration/nerve transplant op on tuesday

Post by Christopher »

dalek84,
There are more than a few possible ways your doctors might be trying to attend to your injury. The general standard is using intercostal nerves off the ribs to innervate the bicep for elbow flexion. I had this done along with a number of other procedures. I didn't start experiencing any movement for over 6 months and then my bicep gradually got stronger. After about 2 years the maximum weight I could curl was 5 pounds.

To be honest, the most important thing you can do at your stage of the game is get to the best surgeons possible, as this injury has a very limited number of top doctors that actually know every surgical technique that is available and are able to perform it well.

Who is your doctor and at which hospital?

Christopher
dalek84
Posts: 10
Joined: Thu Nov 25, 2010 7:06 am
Injury Description, Date, extent, surgical intervention etc: brachial plexus injury in left arm making it completely disabled after being knocked off my motorcyle on the 25th of september awaiting surgery on 21st of december as the docs say i have hornus syndrome indicating the nerves had been severed

Re: exploration/nerve transplant op on tuesday

Post by dalek84 »

hi myy doc is proff davis he his the best surgeon in the uk that looks after paitents with this injury all the research iv done points to this an he this the best surgeon in the uk. he says that he is goin to wire nerves that go to the lung into the arm an if he needs to he will take a nerve out ov the back ov my lower leg. from what i gather america has alot more specialist clinics for this injury, but im highly confident that i have the best available to me i attend queens medical centre in nottingham
djk
Posts: 82
Joined: Mon Nov 01, 2010 9:35 am
Injury Description, Date, extent, surgical intervention etc: extensive right side brachial plexus injury as a result of a motorcycle accident on 8/25/10.

Re: exploration/nerve transplant op on tuesday

Post by djk »

just wanted to say i hope it all goes well.
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thebrain
Posts: 33
Joined: Mon Jul 19, 2010 12:47 am
Injury Description, Date, extent, surgical intervention etc: 6/12/10 avulsion of several roots due to motorcycle accident. So far I've
had two nerve transfers: intercostal to biceps and spinal accessory to
superscapular. The superscapular is working, holding my shoulder in place so I don't have to wear a sling all the time, and I can 'lift' that arm a few degrees away from my body. The bicep is firing but not enough to flex, yet.
Location: Palo Alto, CA

Re: exploration/nerve transplant op on tuesday

Post by thebrain »

I had 2 operations, about a month apart, a few months ago. The first was exploratory/transplant of intercostal nerves. I was really sore for several days after this one, they must have moved my ribs around while they were in there and if you've ever cracked a rib or even stretched some of the tendons inbetween them you know that rib injuries hurt for a long time. it was hard to move around, get out of bed etc. for 3-4 days. also, you end up with stitches in a couple spots from the incisions which also means more (temporary) loss of feeling, and then sensitive spots as it comes back. but that's not really that bad. i ended up with a huge mass of foam tape, bandages, and whatnot from my shoulder down most of my chest on that side which was hot (it was summer) and inconvenient for showering, wearing t-shirts, etc.

The second surgery I had was just a transplant, spinal accessory to deltoid which it sounds like your doc doesn't think will be neccessary. that one didn't hurt as much or take as long to heal.

It hasn't been long enough for me to have results yet but i wouldn't worry about the surgery not being successful, from what i know the success rate is pretty high for these procedures, as long as your criteria for 'success' are reasonable.

hope my description of the surgery i had didn't bum you out, it really wasn't that bad, i just wanted to warn you about some of the things i experienced. good luck and i wish you a speedy recovery.

-brian
dalek84
Posts: 10
Joined: Thu Nov 25, 2010 7:06 am
Injury Description, Date, extent, surgical intervention etc: brachial plexus injury in left arm making it completely disabled after being knocked off my motorcyle on the 25th of september awaiting surgery on 21st of december as the docs say i have hornus syndrome indicating the nerves had been severed

Re: exploration/nerve transplant op on tuesday

Post by dalek84 »

Thanks djk. and thanks brian i also broke 2 ribs in the same accicent so i know only to well what sort of pain they cause will be sure to let you know how it goes thanks regards Dale
User avatar
hilltopfwb
Posts: 82
Joined: Fri Dec 11, 2009 11:50 am
Injury Description, Date, extent, surgical intervention etc: May 24, 2008 an 88 year old lady did not see me and pulled out while I was riding my 06 HD Street Glide. The accident resulted in 9 broken bones and brain hemorrhaging. The accident's most serious results was two avulsions confirmed in my C6 & C7 vertebrae. In Oct of 08 Dr. Li of Wake Forest University performed nerve transfer lasting around 8 hours in surgery. I have limited use now of my left arm. It took until July of 09 before it moved at all, and now is moving limited. I experience burning pain in my left hand, staying busy helps keep the mind off of burning. I visited the Mayo Clinic May, 2010 and consulted with their brachial plexus team. May 1, 2012, I underwent a muscle transfer at Wake Forest University. This surgery was deemed a success and I have more movement in my arm.
Location: Fuquay Varina NC 27526
Contact:

Re: exploration/nerve transplant op on tuesday

Post by hilltopfwb »

I had the nerve transfer done by Dr. Li here in North Carolina at Wake Forest University Hospital. It was successful, I have a good range of movement with my left arm now, solid hand strength and the ability to curl around 3 - 5 pounds. Not all I hoped for, but more than many people have that have the same type injury. I had the surgery in October and in July started to see signs of it moving.

Best of Luck!
dalek84
Posts: 10
Joined: Thu Nov 25, 2010 7:06 am
Injury Description, Date, extent, surgical intervention etc: brachial plexus injury in left arm making it completely disabled after being knocked off my motorcyle on the 25th of september awaiting surgery on 21st of december as the docs say i have hornus syndrome indicating the nerves had been severed

Re: exploration/nerve transplant op on tuesday

Post by dalek84 »

Just want to say iv now had the surgery an there was 3 root evulsions from my spinal cord an there was alot of scarring but my dr is very happy that the surgery went well just got to wait and see now hoping its going to be a good end result
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