{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:38:50Z","timestamp":1787755130960,"version":"build-2784847793"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>The reconstruction of large nerve gaps remains a reconstructive challenge. Here, we present a case report of brachial plexus reconstruction using nerve grafts harvested as spare parts from an amputated limb. It also allowed us to use motor nerve grafts to reconstruct defects in the posterior cord and musculocutaneous nerve. The patient recovered good shoulder and elbow function at 2.5 years with evidence of innervation distally on electromyography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Spare part surgery should always be kept in a surgeons' reconstructive algorithm. Reconstruction of large nerve gaps can be achieved with autologous nerve grafts in certain circumstances.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00739","type":"journal-article","created":{"date-parts":[[2021,5,14]],"date-time":"2021-05-14T03:34:36Z","timestamp":1620963276000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Brachial Plexus Reconstruction Using Long Nerve Grafts as Spare Parts From an Amputated Limb"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3589-2227","authenticated-orcid":false,"given":"Matthew W.T.","family":"Curran","sequence":"first","affiliation":[{"name":"Division of Plastic Surgery, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. Ming","family":"Chan","sequence":"additional","affiliation":[{"name":"Division of Physical Medicine and Rehabilitation, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0788-6305","authenticated-orcid":false,"given":"Michael J.","family":"Morhart","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaret L.","family":"Olson","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,4]]},"reference":[{"issue":"1","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1097\/00005373-199807000-00025","article-title":"Analysis of upper and lower extremity peripheral nerve injuries in a population of patients with multiple injuries","volume":"45","author":"Noble","year":"1998","journal-title":"J Trauma."},{"issue":"2","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1016\/j.expneurol.2004.08.003","article-title":"Effect of motor versus sensory nerve grafts on peripheral nerve regeneration","volume":"190","author":"Nichols","year":"2004","journal-title":"Exp Neurol."},{"key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1055\/s-0033-1360586","article-title":"Spare part surgery","volume":"27","author":"Peng","year":"2013","journal-title":"Semin Plast Surg."},{"key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"e2570","DOI":"10.1097\/GOX.0000000000002570","article-title":"Vascularized pedicled proximal phalanx for spare part for reconstruction of metacarpal avulsion injury","volume":"7","author":"McLeod","year":"2019","journal-title":"Plast Reconstr Surg Glob Open."},{"key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"NP5","DOI":"10.1177\/1558944720906499","article-title":"Reconstruction of basic hand function by a free osteocutaneous spare part from the lower leg after septicemia","volume":"16","author":"Vogt","year":"2021","journal-title":"Hand (NY)."},{"key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"727","DOI":"10.2106\/00004623-197254040-00004","article-title":"The interfascicular nerve-grafting of the median and ulnar nerves","volume":"54","author":"Millesi","year":"1972","journal-title":"J Bone Joint Surg Am."},{"key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1002\/(SICI)1098-2752(1999)19:4<200::AID-MICR7>3.0.CO;2-Y","article-title":"Effects of tension at the site of coaptation on recovery of sciatic nerve function after neurorrhaphy: evaluation by walking-track measurement, electrophysiology, histomorphometry, and electron probed-ray microanalysis","volume":"19","author":"Maeda","year":"1999","journal-title":"Microsurgery."},{"key":"bib8-20240805","first-page":"677","article-title":"Nerve tension and blood flow in a rat model of immediate and delayed nerve repair","volume":"17","author":"Clark","year":"1992","journal-title":"J Reconstr Micro."},{"key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1097\/WNR.0b013e32833e787f","article-title":"Impaired nerve regeneration and Schwann cell activation after repair with tension","volume":"21","author":"Yi","year":"2010","journal-title":"NeuroReport."},{"key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1016\/j.hcl.2013.04.003","article-title":"Nerve allografts and conduits in peripheral nerve repair","volume":"29","author":"Lin","year":"2013","journal-title":"Hand Clin."},{"key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.hcl.2015.12.012","article-title":"Autograft substitutes; 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