Abstract
The start of Stanford's brachial plexus birth palsy (BPBP) experience dates back to
1983, when Dr. Vincent Rod Hentz visited Dr. Alain Gilbert on sabbatical. Since then,
our principles of care for patients with BPBP have evolved based on our group's longitudinal
experience caring for children with the entire spectrum of sequelae that arise in
children with BPBP. We base our clinical decision making on frequent serial examinations
and use intraoperative evoked potentials to guide surgical decisions. Here, we discuss
our current principles on surgical indications, timing of surgery, and preferred techniques
for secondary surgery in patients with BPBP.
Keywords
birth brachial plexus palsy - nerve grafting - nerve transfers - reconstructive strategy
