{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T10:38:57Z","timestamp":1788431937184,"version":"build-2803163510"},"reference-count":37,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,8,2]],"date-time":"2013-08-02T00:00:00Z","timestamp":1375401600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:p><jats:italic>Purpose<\/jats:italic>: We conducted a clinical study to evaluate the effects of neurotization, especially comparing the total contralateral C7 (CC7) root transfer to hemi\u2010CC7 transfer, on total root avulsion brachial plexus injuries (BPI). <jats:italic>Methods<\/jats:italic>: Forty patients who received neurotization for BPI were enrolled in this prospective study. Group 1 (<jats:italic>n<\/jats:italic> = 20) received hemi\u2010CC7 transfer for hand function, while group 2 (<jats:italic>n<\/jats:italic> = 20) received total\u2010CC7 transfer. Additional neurotization included spinal accessory, phrenic, and intercostal nerve transfer for shoulder and elbow function. The results were evaluated with an average of 6 years follow\u2010up. <jats:italic>Results<\/jats:italic>: Group 1 had fewer donor site complications (15%) than group 2 (45%); group 2 had significantly better hand M3 and M4 motor function (65%) than group 1 (30%; <jats:italic>P<\/jats:italic> = 0.02). There was no difference in sensory recovery. Significantly, better shoulder function was obtained by simultaneous neurotization on both suprascapular and axillary nerves. <jats:italic>Conclusions<\/jats:italic>: Total\u2010CC7 transfer had better hand recovery but more donor complications than hemi\u2010CC7. Neurotization on both supra\u2010scapular and axillary nerves improved shoulder recovery. \u00a9 2013 The Authors. Microsurgery published by Wiley Periodicals, Inc. Microsurgery 34:91\u2013101, 2014.<\/jats:p>","DOI":"10.1002\/micr.22148","type":"journal-article","created":{"date-parts":[[2013,8,2]],"date-time":"2013-08-02T09:54:41Z","timestamp":1375437281000},"page":"91-101","source":"Crossref","is-referenced-by-count":54,"title":["Surgical treatment for total root avulsion type brachial plexus injuries by neurotization: A prospective comparison study between total and hemicontralateral C7 nerve root transfer"],"prefix":"10.1002","volume":"34","author":[{"given":"Yuan\u2010Kun","family":"Tu","sequence":"first","affiliation":[{"name":"Department of Biomedical Engineering National Cheng Kung University Tainan Taiwan"},{"name":"Department of Orthopedics E\u2010Da Hospital\/I\u2010Shou University Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi\u2010Jung","family":"Tsai","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering National Cheng Kung University Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chih\u2010Han","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering National Cheng Kung University Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fong\u2010Chin","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering National Cheng Kung University Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chih\u2010Kun","family":"Hsiao","sequence":"additional","affiliation":[{"name":"Department of Orthopedics E\u2010Da Hospital\/I\u2010Shou University Kaohsiung Taiwan"},{"name":"Department of Medical Research, E\u2010Da Hospital Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline Siau\u2010Woon","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Singapore General Hospital  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,8,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(05)80235-9"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4377-0575-1.00020-4"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2001.27764"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0303-8467(93)90038-I"},{"key":"e_1_2_6_6_1","first-page":"67","volume-title":"Brachial plexus injuries","author":"Bonnard C","year":"2001"},{"key":"e_1_2_6_7_1","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1016\/S0030-5898(20)31393-6","article-title":"Brachial plexus surgery","volume":"12","author":"Narakas AO","year":"1981","journal-title":"Orthop Clin North Am"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199901000-00004"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200005000-00006"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(05)80097-8"},{"key":"e_1_2_6_11_1","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1097\/00003086-198812000-00008","article-title":"Neurotization in brachial plexus injuries: Indications and results","volume":"237","author":"Narakas AO","year":"1988","journal-title":"Clin Orthop"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000254859.51903.97"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2008.04.003"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01075"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(96)80349-2"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1054\/jhsb.1999.0264"},{"key":"e_1_2_6_17_1","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1097\/00003086-198812000-00007","article-title":"Brachial plexus injuries. 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