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Mitchell et al. Plast Aesthet Res 2023;10:35 Plastic and
DOI: 10.20517/2347-9264.2023.14
Aesthetic Research

Review Open Access

Review of current reconstructive approaches for
pan-brachial plexus injuries

Sean M. Mitchell, Justin W. Zumsteg, Karan A. Desai

Department of Hand & Upper Extremity Surgery, Orlando Health Jewett Orthopedic Institute, Orlando, FL 32806, USA.
Correspondence to: Dr. Sean M. Mitchell, Department of Hand & Upper Extremity Surgery, Orlando Health Jewett Orthopedic
Institute, 60 W. Columbia St, Orlando, FL 32806, USA. E-mail: smmitche5@gmail.com

How to cite this article: Mitchell SM, Zumsteg JW, Desai KA. Review of current reconstructive approaches for pan-brachial
plexus injuries. Plast Aesthet Res 2023;10:35. https://dx.doi.org/10.20517/2347-9264.2023.14

Received: 16 Feb 2023 First Decision: 25 Apr 2023 Revised: 14 Jun 2023 Accepted: 26 Jun 2023 Published: 3 Jul 2023

Academic Editors: Jacques Henri Hacquebord, Raymund E. Horch Copy Editor: Dan Zhang Production Editor: Dan Zhang

Abstract
Pan-brachial plexus injuries present a challenging clinical problem, resulting in severe impairment of motor and
sensory function in the upper extremity. Although current literature has outlined several promising methodologies
for treatment, a consensus has yet to be reached. In this review, we present three general approaches for
reconstructing the upper extremity in these complex cases.

Keywords: Pan-brachial plexus injuries, brachial plexus, reconstructive techniques

INTRODUCTION
Pan-brachial plexus injuries (PBPIs) are severe and life-altering conditions that result in a flail limb. These
injuries cause long-lasting physical disability, psychological anguish, and chronic pain, and require a
substantial financial investment for treatment. While brachial plexus injuries are overall quite rare, PBPIs
constitute approximately 53% of all brachial plexus injuries[1]. These devastating injuries predominantly
occur in young males following high-energy motorcycle or motor vehicle accidents[1]. Due to the complete
loss of motor and sensory function of the upper extremity resulting from PBPI, the treatment continues to
be challenging for surgeons.

© The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, sharing,
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