Neurotization or nerve transfer for brachial plexus lesions.

Neurotization is one of the methods available for treating avulsive lesions of the brachial plexus. It has to be inserted into a series of other procedures when all the roots are not avulsed when all of them are avulsed but represents the only chance. It can only hope to restore some simple function to replace the very complex ones which have been lost. It has limited applications but is fully justified when one is dealing with a totally paralyzed limb. Finally, it can improve the trophicity of the limb and relieve the severe pain which is present in some 40% of cases of avulsive lesions, a problem which cannot be developed here. It is necessary that the patients and the surgeons realize its limits in order to avoid disappointment.