There are some plexus injuries for which microneural plexus reconstruction provides the only good possibility of achieving useful limb function. These injuries include complete plexus palsies in the adult and baby, and incomplete upper plexus lesions in the adult. There are plexus injuries for which there is little to no role for microneurosurgery, such as the isolated C8, T1 injury in the adult (this is an extremely rare injury in babies). For these lesions, conventional procedures including muscle-tendon transfers, and/or arthrodeses are a better choice. Finally, for some injuries, the superiority of microsurgical or conventional treatments has not yet been clearly established.
Was this article helpful?