Chinese Journal of Hand Surgery
Objective To investigate the possibility and advantage of using artificial blood vessels in patients with both brachial plexus and blood vessel injuries. Methods There were 6 patients with both brachial plexus and blood vessel injuries treated from February 2004 to October 2004. ePTFE artificial vessels were used to repair the blood vessel injuries at the same time of repairing brachial plexus injury. The average length of artificial vessel grafts was 12.3 cm , ranging from 7 to 18 cm. Postoperatively the patients were followed for 3 to 6 months. Results Radial artery pulsation was evident at follow-up evaluation. Ultrasonography showed all the artificial blood vessels were patent. Good functional recovery was achieved in 2 cases of incomplete brachial plexus injury at cord level following neurolysis. Conclusion Application of artificial blood vessel in patients with both brachial plexus and blood vessel injuries made it possible to repair both injuries at the same time. Improvement of the blood supply of the extremity is favourable for a better functional recovery.