What question did this study set out to answer?

To evaluate a staged approach to brachialis to anterior interosseous nerve transfer with graft for enhancing hand grasp recovery in tetraplegic individuals.

March 13, 2026

Staged Brachialis to Anterior Interosseous Nerve Transfer With Graft for Recovery of Grasp in the Tetraplegic Patient: Technical Report.

Key Points

To evaluate a staged approach to brachialis to anterior interosseous nerve transfer with graft for enhancing hand grasp recovery in tetraplegic individuals.
Described a 2-stage nerve transfer technique.
Utilized an interpositional graft for the procedure.
Focused on tetraplegic patients suffering from limited hand function.
Demonstrated improved hand grasp recovery compared to previous reports.
Addressed limitations of direct nerve transfer methods.
Showed potential for better clinical outcomes in treated patients.

Abstract

The BRA-AIN is one of the few interventions available for recovery of hand grasp in the tetraplegic patient, but previous reports have shown less favorable outcomes. A 2-stage approach with an interpositional graft may address some of the limitations of the direct BRA-AIN transfer, improving outcomes.

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