{"paper_id":"07d433ff-5a28-4826-b4fb-e72da67a6f85","body_text":"Comparative Study of Elbow-Flexion Gain in Patients with Upper Brachial Plexus Injury Using the Oberlin Neurotization Technique versus Free Gracilis Muscle Transplantation Neurotized with an Ulnar Nerve Fascicle. | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Comparative Study of Elbow-Flexion Gain in Patients with Upper Brachial Plexus Injury Using the Oberlin Neurotization Technique versus Free Gracilis Muscle Transplantation Neurotized with an Ulnar Nerve Fascicle. Antonio Isidoro de Sousa Neto, Fabio de França Urquiza, Alvaro Baik Cho, and 3 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-8856195/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Purpose There is a general consensus in the literature regarding the excellent outcomes achieved with the Oberlin procedure for the treatment of upper brachial plexus injuries (C5–C6 and/or C7) in restoring elbow flexion. However, some limitations exist when this procedure is performed long after the initial trauma. An alternative is the free gracilis muscle transfer, using a fascicle of the ulnar nerve as the donor nerve. The aim of this study was to compare the Oberlin procedure and free functional gracilis muscle transfer in terms of elbow flexion strength recovery. Methods A non-randomized retrospective cohort study was conducted comparing these two techniques in 69 patients with upper brachial plexus injuries, evaluating postoperative elbow flexion strength. The minimum follow-up period was 12 months. Results With regard to elbow flexion recovery, there was no statistically significant difference in the proportion of good results (M4 strength) between the two groups (60.4% for the Oberlin group and 61.9% for the free gracilis group). When subdividing the Oberlin group according to the maximum time interval between injury and surgery (≤ 6, ≤ 9, and ≤ 12 months), the rates of good results (M4) were 65.2%, 60.4%, and 58.3%, respectively. No statistically significant differences were found either among these subgroups or between any of them and the free muscle transfer group. Conclusion The Oberlin procedure provides elbow flexion strength comparable to that achieved with free functional muscle transfer when performed within 12 months after the initial brachial plexus injury. Nerve transfer Free tissue flaps Brachial plexus Ulnar nerve Free gracilis transfer Figures Figure 1 Introduction The treatment of brachial plexus injuries has gained increasing attention, particularly regarding their management, due to the marked rise in cases [1–3] associated with the growing use of motorcycles as a means of transportation and the broader range of therapeutic options now available. Among the various types of brachial plexus injuries, upper lesions are characterized by involvement of the C5–C6 roots, which may or may not extend to C7 [4, 5]. These upper lesions account for approximately 30–50% of all brachial plexus injuries [3]. In recent years, there has been significant progress in surgical techniques aimed at nerve reconstruction. These may include direct repair of the affected roots or neurotization [6–11], in which a viable donor nerve is coapted to a denervated motor branch [12]. The objective is to restore a prioritized motor function without sacrificing another, thereby reestablishing a movement considered functionally essential. Restoration of elbow flexion in upper brachial plexus injuries is universally regarded as a priority [13]. The Oberlin procedure, which uses a fascicle of the ulnar nerve to reinnervate the motor branch to the biceps [14], has become a near-consensus approach for recovering elbow flexion [15–18]. However, following denervation, the motor unit undergoes progressive atrophy and fatty degeneration. The literature remains controversial regarding the maximum time window in which reinnervation remains beneficial, with reported limits ranging from 3 to 18 months, depending on the author [5, 6,19–21]. For cases with a prolonged interval between trauma and potential surgical intervention, free functional muscle transfer represents a valuable alternative for restoring elbow flexion [22]. The gracilis muscle is the most frequently used for this purpose due to its favorable anatomical characteristics, including a well-defined vascular pedicle and a consistent innervation by a branch of the obturator nerve [23–28]. The decision between biceps neurotization and free functional muscle transfer depends largely on the degree and duration of muscle denervation. Therefore, defining the maximum interval between trauma and surgery during which biceps reinnervation remains feasible - and yields a functional outcome equivalent or superior to that of a reinnervated free gracilis transfer using a ulnar nerve fascicle - is essential [29, 30]. This retrospective comparative study aims to provide data supporting this clinical decision-making process. The objective of the study was to compare the Oberlin procedure and free functional gracilis muscle transfer in terms of elbow flexion strength recovery in patients with upper brachial plexus injury. A secondary objective was to analyze the temporal relationship between the Oberlin procedure outcomes and the time elapsed between trauma and surgery. Patients and Methods This was a retrospective, non-randomized, comparative cohort study including 69 patients with upper brachial plexus injury (C5–C6 and/or C7) who underwent surgery for elbow flexion restoration at a public hospital between 2006 and 2015. This study was performed in line with the principles of the Declaration of Helsinki. Data collection began after approval by the institutional ethics committee and the scientific board, as well as after all patients provided informed consent. For a lesion to be classified as upper, preservation of the C8 and T1 roots was required, confirmed clinically by the presence of intrinsic hand muscle and flexor carpi ulnaris function. 21 patients underwent free functional gracilis muscle transfer (Free group), and 48 underwent the Oberlin procedure (Oberlin group). The Oberlin group was further subdivided according to the time interval between trauma and surgery: up to six months, between six and nine months, and between nine and 12 months. Inclusion criteria comprised patients with upper brachial plexus injury and M0 elbow flexion strength who underwent either the Oberlin procedure or free functional gracilis muscle transfer (both reinnervated using a fascicle of the ulnar nerve), with preoperative and postoperative assessment of elbow flexion strength according to the British Medical Research Council (BMRC) scale, and with intact C8/T1 roots. Exclusion criteria included skeletal trauma of the shoulder, arm, or elbow; impaired passive elbow mobility; scarring of the anterior shoulder or anteromedial arm; incomplete medical records; lack of surgical details regarding the neurotization performed; noncompliance with postoperative rehabilitation protocols; and outpatient follow-up shorter than 12 months. The primary and secondary outcomes were based on elbow flexion muscle strength as graded by the BMRC scale. In this cohort, the Oberlin procedure was performed between one and twelve months after trauma (mean seven months), whereas free muscle transfer was performed only after a minimum of six months. Results After applying the inclusion and exclusion criteria, 21 patients were included in the Free group and 48 in the Oberlin group. The mean ages were 30.3 and 31.5 years, respectively. The prevalence of associated C7 root injury was 42.9% in the Free group and 50% in the Oberlin group. The mean follow-up durations were 28.1 months and 27.2 months, respectively. The interval between trauma and surgery differed significantly between the groups (p = 0.01), with a mean of seven months in the Oberlin group and 25.6 months in the Free group, interval ranging from six to 48 months (Fig. 1). In terms of elbow flexion strength recovery, there was no statistically significant difference in the proportion of good results (M4 or higher) between the two groups: 60.4% in the Oberlin group (Table 1 ) and 61.9% in the Free group (Table 2 ). Nevertheless, in absolute numbers, a higher incidence of poor outcomes (seven cases of M1 strength) was observed in the Oberlin group compared with the Free gracilis transfer group. Table 1 Distribution of elbow-flexion strength (BMRC) Strength Free (n = 21) Oberlin (n = 48) M1 1 (4,8%) 7 (14,6%) M2 2 (9,5%) 3 (6,3%) M3 5 (23,8%) 9 (18,7%) M4 12 (57,1%) 25 (52,1%) M5 1 (4,8%) 4 (8,3%) Table 2 Distribution of relative frequencies of the Free group Surgery M5 [CI 95%] M4 [CI 95%] M4 + M5 [CI 95%] Free group 4,76 [-4,5 a 14,1] 57,14 [35,5 a 78,7] 61,90 [40,7 a 83,1] CI 95% = 95% confidence interval When the Oberlin group was subdivided into three subgroups according to the maximum interval between trauma and surgery (≤ 6 months, ≤ 9 months, and ≤ 12 months), the proportion of good results (M4 or M5) showed a progressive but non statistically significant decline (Table 3 ). Similarly, no statistically significant differences were found when each Oberlin subgroup was compared individually with the Free group. Within the Oberlin group, however, increasing age was significantly associated with worse outcomes (p = 0.02). Table 3 Oberlin subgroup analysis—good results (M4 or M5) CI 95% = 95% confidence interval Discussion The predominance of young male patients corresponds to the demographic most commonly involved in motorcycle accidents, as widely reported in the literature, and reflects the substantial social and functional impact of brachial plexus injuries in this population [1–3]. The allocation of patients into groups was determined primarily by the time elapsed between trauma and presentation to a specialized referral center. Due to the limited availability of such centers, patients often present late for definitive management, which explains the 21 cases included in the Free group. Few Oberlin procedures were performed within three months of injury, reflecting the practical difficulty of early intervention. Previous epidemiological studies indicate that approximately 50% of patients reach specialized services more than six months post-trauma [3]. Determining the upper limit beyond which neurotization is no longer advisable requires an understanding of the physiology of chronic denervation. Experimental studies have demonstrated that denervated muscles undergo irreversible changes even with early reinnervation [31–33]. After approximately one year, progressive muscle fiber atrophy and fatty replacement occur, supporting the recommendation that nerve transfers be performed within six to nine months after injury [34]. Despite this established physiological knowledge, clinical experience continues to show variability, and there is no absolute consensus regarding the precise cutoff time after which reinnervation procedures should be avoided [11]. In the present cohort, the interval between trauma and surgery in the Oberlin group was consistent with previously published data. Management in the Free group also followed current literature recommendations [22, 25, 28], favoring free functional muscle transfer when the likelihood of achieving satisfactory results with the Oberlin procedure is reduced. No upper time limit was imposed for the Free group, as this procedure utilizes an intact donor muscle (gracilis) and a healthy donor nerve (ulnar). Assuming that the timing of surgery does not significantly influence outcomes in the Free group, only the Oberlin group was subdivided according to the interval between trauma and surgery. Beyond the time interval from trauma, the choice between these two surgical strategies should also consider technical complexity, morbidity, and rehabilitation requirements. The Oberlin procedure is relatively straightforward, involving a single approximately ten-cm incision, minimal donor nerve morbidity, and a short immobilization period of about two weeks. In contrast, free functional gracilis transfer is technically demanding, involving extensive donor-site dissection and morbidity (thigh), dual fixation points for the transferred muscle, and arterial and venous microanastomoses. It generally requires two surgical teams and mandates a longer postoperative immobilization period. Multiple donor nerves have been described for restoring elbow flexion, including the pectoralis, thoracodorsal, phrenic, intercostal, spinal accessory, median, contralateral C7, and ulnar nerves [35–37]. The ulnar nerve was selected as the donor in the present cohort due to the extensive literature supporting its use since the original description by Oberlin et al. [14]. Its proximity to the recipient nerve, low donor-site morbidity, and consistent strength recovery make it a reliable choice. Rezende et al. [36] reported rates of ≥M3 in 85% and ≥M4 in 62% of patients when the procedure was performed 4.6–9 months after trauma. The British Medical Research Council (BMRC) scale is employed in approximately 80% of brachial plexus reports [38] and routinely used in our service to assess muscle strength. Although many authors consider M3 satisfactory, functional movement was defined here as the ability to overcome some resistance (M4), which was adopted as the threshold for a “good” result. Nevertheless, even when analyzed using the ≥M3 threshold, no significant difference was found between the Oberlin and Free groups (79% and 85%, respectively). Since the first free functional muscle transfer for elbow flexion described by Ikuta et al. [24], various donor nerves have been proposed. However, the use of the ulnar nerve as a donor for gracilis transfer remains less extensively explored, with only small case series available [31, 39]. Kay et al. [40] reported superior elbow flexion recovery in patients reinnervated with an ulnar donor (≥ M3 in 70%) compared with those using intercostal donors. The statistical equivalence between the Free group, Oberlin group and subgroups suggest that time was not a determinant factor of outcome for the Oberlin surgery performed within 12 months of trauma and that its functional results were equivalent to those achieved with free gracilis transfer. In spite of the free functional gracilis transfer be considered highly effective option for restoring elbow flexion strength in brachial plexus injuries, the Oberlin procedure is well established in the literature, and considered simple, reproducible and associated with minimal morbidity and so should be considered the first-line option within the first year after injury. Free muscle transfer remains a safe and reliable alternative for patients with long-standing injuries or those beyond the optimal neurotization window. No inference can be made for Oberlin procedures performed beyond 12 months post-trauma. Limitations and Strengths The main limitations of this study include its retrospective design and the absence of randomization. However, all surgeries were performed by the same surgeon, all patients underwent identical rehabilitation protocols at the same institution, and muscle strength assessments were standardized using the BMRC scale, which helps mitigate these limitations. Randomization was not considered appropriate, as clinical criteria and time since trauma naturally guide the choice of technique, rendering random allocation ethically questionable. Strengths of the present study include the relatively large Free group (21 patients), which represents one of the largest series using the ulnar nerve as a donor for free functional gracilis transfer. The study groups were homogeneous, with no statistically significant differences in age, side, level of injury, follow-up duration, or complementary procedures. Conclusion In the surgical treatment of upper brachial plexus injuries, the Oberlin procedure and free functional gracilis muscle transfer achieved comparable results in elbow flexion strength recovery. The Oberlin procedure should be preferred within the first year of trauma because of its simplicity, low morbidity, and reproducibility, while free gracilis transfer remains an excellent alternative for delayed cases or when direct neurotization is no longer feasible. This study provides evidence-based considerations to help optimize surgical decision-making and maximize functional recovery in patients with upper brachial plexus injuries. Declarations Funding No funding was received for conducting this study. Author Contribution A. I. Sousa Neto Methodology, Writing – review and editing, Conceptualization, Project administration. F. F. Urquiza: Writing – original draft, Data curation, Investigation. A. B. Cho Methodology, Formal analysis. R. B. Iamaguchi: Data curation, Formal analysis, Project administration. L.Y. Kiyohara Data curation, Formal analysis, Validation. M. R. Rezende Methodology, Writing – review and editing, Supervision, Visualization, Conceptualization. Data Availability The datasets generated and analyzed during the current study are not publicly available due to confidentiality concerns but are available from the corresponding author on reasonable request. Ethics Committee Approval This study was approved by the institution's Ethics Committee, according to opinion number 1.037.494/2015. References Midha R (1997). Epidemiology of brachial plexus injuries in a multitrauma population. Neurosurgery 40:1182–1189. https://doi.org/10.1097/00006123-199706000-00014 Rezende MR, Silva GB, Paula EJ, Mattar Junior R, Camargo OP (2013) What has changed in brachial plexus surgery?. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {\"props\":{\"pageProps\":{\"initialData\":{\"identity\":\"rs-8856195\",\"acceptedTermsAndConditions\":true,\"allowDirectSubmit\":true,\"archivedVersions\":[],\"articleType\":\"Research Article\",\"associatedPublications\":[],\"authors\":[{\"id\":592455237,\"identity\":\"15f6251b-873c-4a6f-a1a8-59a0960502f9\",\"order_by\":0,\"name\":\"Antonio Isidoro de Sousa 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00:23:45\",\"currentVersionCode\":1,\"declarations\":\"\",\"doi\":\"10.21203/rs.3.rs-8856195/v1\",\"doiUrl\":\"https://doi.org/10.21203/rs.3.rs-8856195/v1\",\"draftVersion\":[],\"editorialEvents\":[],\"editorialNote\":\"\",\"failedWorkflow\":false,\"files\":[{\"id\":102997773,\"identity\":\"80a0da14-2fa0-4250-8368-cac69b578cfa\",\"added_by\":\"auto\",\"created_at\":\"2026-02-19 12:38:09\",\"extension\":\"png\",\"order_by\":1,\"title\":\"Figure 1\",\"display\":\"\",\"copyAsset\":false,\"role\":\"figure\",\"size\":181267,\"visible\":true,\"origin\":\"\",\"legend\":\"\\u003cp\\u003eSee image above for figure legend\\u003c/p\\u003e\",\"description\":\"\",\"filename\":\"Fig.1.png\",\"url\":\"https://assets-eu.researchsquare.com/files/rs-8856195/v1/0861630851d4c39381a31316.png\"},{\"id\":103504130,\"identity\":\"440463a2-0447-4f4c-ba1c-59c39be572e1\",\"added_by\":\"auto\",\"created_at\":\"2026-02-26 13:17:36\",\"extension\":\"pdf\",\"order_by\":0,\"title\":\"\",\"display\":\"\",\"copyAsset\":false,\"role\":\"manuscript-pdf\",\"size\":676733,\"visible\":true,\"origin\":\"\",\"legend\":\"\",\"description\":\"\",\"filename\":\"manuscript.pdf\",\"url\":\"https://assets-eu.researchsquare.com/files/rs-8856195/v1/5a511722-460e-4159-9ffd-c8bd32d5e07c.pdf\"}],\"financialInterests\":\"No competing interests reported.\",\"formattedTitle\":\"Comparative Study of Elbow-Flexion Gain in Patients with Upper Brachial Plexus Injury Using the Oberlin Neurotization Technique versus Free Gracilis Muscle Transplantation Neurotized with an Ulnar Nerve Fascicle.\",\"fulltext\":[{\"header\":\"Introduction\",\"content\":\"\\u003cp\\u003eThe treatment of brachial plexus injuries has gained increasing attention, particularly regarding their management, due to the marked rise in cases [1\\u0026ndash;3] associated with the growing use of motorcycles as a means of transportation and the broader range of therapeutic options now available. Among the various types of brachial plexus injuries, upper lesions are characterized by involvement of the C5\\u0026ndash;C6 roots, which may or may not extend to C7 [4, 5]. These upper lesions account for approximately 30\\u0026ndash;50% of all brachial plexus injuries [3].\\u003c/p\\u003e \\u003cp\\u003eIn recent years, there has been significant progress in surgical techniques aimed at nerve reconstruction. These may include direct repair of the affected roots or neurotization [6\\u0026ndash;11], in which a viable donor nerve is coapted to a denervated motor branch [12]. The objective is to restore a prioritized motor function without sacrificing another, thereby reestablishing a movement considered functionally essential. Restoration of elbow flexion in upper brachial plexus injuries is universally regarded as a priority [13]. The Oberlin procedure, which uses a fascicle of the ulnar nerve to reinnervate the motor branch to the biceps [14], has become a near-consensus approach for recovering elbow flexion [15\\u0026ndash;18]. However, following denervation, the motor unit undergoes progressive atrophy and fatty degeneration. The literature remains controversial regarding the maximum time window in which reinnervation remains beneficial, with reported limits ranging from 3 to 18 months, depending on the author [5, 6,19\\u0026ndash;21].\\u003c/p\\u003e \\u003cp\\u003eFor cases with a prolonged interval between trauma and potential surgical intervention, free functional muscle transfer represents a valuable alternative for restoring elbow flexion [22]. The gracilis muscle is the most frequently used for this purpose due to its favorable anatomical characteristics, including a well-defined vascular pedicle and a consistent innervation by a branch of the obturator nerve [23\\u0026ndash;28]. The decision between biceps neurotization and free functional muscle transfer depends largely on the degree and duration of muscle denervation. Therefore, defining the maximum interval between trauma and surgery during which biceps reinnervation remains feasible - and yields a functional outcome equivalent or superior to that of a reinnervated free gracilis transfer using a ulnar nerve fascicle - is essential [29, 30].\\u003c/p\\u003e \\u003cp\\u003eThis retrospective comparative study aims to provide data supporting this clinical decision-making process. The objective of the study was to compare the Oberlin procedure and free functional gracilis muscle transfer in terms of elbow flexion strength recovery in patients with upper brachial plexus injury. A secondary objective was to analyze the temporal relationship between the Oberlin procedure outcomes and the time elapsed between trauma and surgery.\\u003c/p\\u003e\"},{\"header\":\"Patients and Methods\",\"content\":\"\\u003cp\\u003eThis was a retrospective, non-randomized, comparative cohort study including 69 patients with upper brachial plexus injury (C5\\u0026ndash;C6 and/or C7) who underwent surgery for elbow flexion restoration at a public hospital between 2006 and 2015. This study was performed in line with the principles of the Declaration of Helsinki. Data collection began after approval by the institutional ethics committee and the scientific board, as well as after all patients provided informed consent.\\u003c/p\\u003e \\u003cp\\u003eFor a lesion to be classified as upper, preservation of the C8 and T1 roots was required, confirmed clinically by the presence of intrinsic hand muscle and flexor carpi ulnaris function. 21 patients underwent free functional gracilis muscle transfer (Free group), and 48 underwent the Oberlin procedure (Oberlin group). The Oberlin group was further subdivided according to the time interval between trauma and surgery: up to six months, between six and nine months, and between nine and 12 months.\\u003c/p\\u003e \\u003cp\\u003eInclusion criteria comprised patients with upper brachial plexus injury and M0 elbow flexion strength who underwent either the Oberlin procedure or free functional gracilis muscle transfer (both reinnervated using a fascicle of the ulnar nerve), with preoperative and postoperative assessment of elbow flexion strength according to the British Medical Research Council (BMRC) scale, and with intact C8/T1 roots. Exclusion criteria included skeletal trauma of the shoulder, arm, or elbow; impaired passive elbow mobility; scarring of the anterior shoulder or anteromedial arm; incomplete medical records; lack of surgical details regarding the neurotization performed; noncompliance with postoperative rehabilitation protocols; and outpatient follow-up shorter than 12 months.\\u003c/p\\u003e \\u003cp\\u003eThe primary and secondary outcomes were based on elbow flexion muscle strength as graded by the BMRC scale. In this cohort, the Oberlin procedure was performed between one and twelve months after trauma (mean seven months), whereas free muscle transfer was performed only after a minimum of six months.\\u003c/p\\u003e\"},{\"header\":\"Results\",\"content\":\"\\u003cp\\u003eAfter applying the inclusion and exclusion criteria, 21 patients were included in the Free group and 48 in the Oberlin group. The mean ages were 30.3 and 31.5 years, respectively. The prevalence of associated C7 root injury was 42.9% in the Free group and 50% in the Oberlin group. The mean follow-up durations were 28.1 months and 27.2 months, respectively. The interval between trauma and surgery differed significantly between the groups (p\\u0026thinsp;=\\u0026thinsp;0.01), with a mean of seven months in the Oberlin group and 25.6 months in the Free group, interval ranging from six to 48 months (Fig.\\u0026nbsp;1).\\u003c/p\\u003e\\n\\u003cp\\u003eIn terms of elbow flexion strength recovery, there was no statistically significant difference in the proportion of good results (M4 or higher) between the two groups: 60.4% in the Oberlin group (Table \\u003cspan class=\\\"InternalRef\\\"\\u003e1\\u003c/span\\u003e) and 61.9% in the Free group (Table \\u003cspan class=\\\"InternalRef\\\"\\u003e2\\u003c/span\\u003e). Nevertheless, in absolute numbers, a higher incidence of poor outcomes (seven cases of M1 strength) was observed in the Oberlin group compared with the Free gracilis transfer group.\\u003c/p\\u003e\\n\\u003cdiv class=\\\"gridtable\\\"\\u003e\\u0026nbsp;\\u0026nbsp;\\u003ctable id=\\\"Tab1\\\" border=\\\"1\\\"\\u003e\\n \\u003ccaption language=\\\"En\\\"\\u003e\\n \\u003cdiv class=\\\"CaptionNumber\\\"\\u003eTable 1\\u003c/div\\u003e\\n \\u003cdiv class=\\\"CaptionContent\\\"\\u003e\\n \\u003cp\\u003eDistribution of elbow-flexion strength (BMRC)\\u003c/p\\u003e\\n \\u003c/div\\u003e\\n \\u003c/caption\\u003e\\n \\u003cthead\\u003e\\n \\u003ctr\\u003e\\n \\u003cth align=\\\"left\\\"\\u003e\\n \\u003cp\\u003eStrength\\u003c/p\\u003e\\n \\u003c/th\\u003e\\n \\u003cth align=\\\"left\\\"\\u003e\\n \\u003cp\\u003eFree (n\\u0026thinsp;=\\u0026thinsp;21)\\u003c/p\\u003e\\n \\u003c/th\\u003e\\n \\u003cth align=\\\"left\\\"\\u003e\\n \\u003cp\\u003eOberlin (n\\u0026thinsp;=\\u0026thinsp;48)\\u003c/p\\u003e\\n \\u003c/th\\u003e\\n \\u003c/tr\\u003e\\n \\u003c/thead\\u003e\\n \\u003ctbody\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd align=\\\"left\\\"\\u003e\\n \\u003cp\\u003e\\u003cstrong\\u003eM1\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd align=\\\"left\\\"\\u003e\\n \\u003cp\\u003e1 (4,8%)\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd align=\\\"left\\\"\\u003e\\n \\u003cp\\u003e7 (14,6%)\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd align=\\\"left\\\"\\u003e\\n \\u003cp\\u003e\\u003cstrong\\u003eM2\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd align=\\\"left\\\"\\u003e\\n \\u003cp\\u003e2 (9,5%)\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd align=\\\"left\\\"\\u003e\\n \\u003cp\\u003e3 (6,3%)\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd align=\\\"left\\\"\\u003e\\n \\u003cp\\u003e\\u003cstrong\\u003eM3\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd align=\\\"left\\\"\\u003e\\n \\u003cp\\u003e5 (23,8%)\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd align=\\\"left\\\"\\u003e\\n \\u003cp\\u003e9 (18,7%)\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd align=\\\"left\\\"\\u003e\\n \\u003cp\\u003e\\u003cstrong\\u003eM4\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd align=\\\"left\\\"\\u003e\\n \\u003cp\\u003e12 (57,1%)\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd align=\\\"left\\\"\\u003e\\n \\u003cp\\u003e25 (52,1%)\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003c/tbody\\u003e\\n \\u003ctfoot\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd colspan=\\\"3\\\"\\u003e\\u003cstrong\\u003eM5\\u003c/strong\\u003e 1 (4,8%) 4 (8,3%)\\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003c/tfoot\\u003e\\n \\u003c/table\\u003e\\n\\u003c/div\\u003e\\n\\u003cdiv class=\\\"gridtable\\\"\\u003e\\u0026nbsp;\\u003ctable id=\\\"Tab2\\\" border=\\\"1\\\"\\u003e\\n \\u003ccaption language=\\\"En\\\"\\u003e\\n \\u003cdiv class=\\\"CaptionNumber\\\"\\u003eTable 2\\u003c/div\\u003e\\n \\u003cdiv class=\\\"CaptionContent\\\"\\u003e\\n \\u003cp\\u003eDistribution of relative frequencies of the Free group\\u003c/p\\u003e\\n \\u003c/div\\u003e\\n \\u003c/caption\\u003e\\n \\u003cthead\\u003e\\n \\u003ctr\\u003e\\n \\u003cth align=\\\"left\\\"\\u003e\\n \\u003cp\\u003eSurgery\\u003c/p\\u003e\\n \\u003c/th\\u003e\\n \\u003cth align=\\\"left\\\"\\u003e\\n \\u003cp\\u003eM5 [CI 95%]\\u003c/p\\u003e\\n \\u003c/th\\u003e\\n \\u003cth align=\\\"left\\\"\\u003e\\n \\u003cp\\u003eM4 [CI 95%]\\u003c/p\\u003e\\n \\u003c/th\\u003e\\n \\u003cth align=\\\"left\\\"\\u003e\\n \\u003cp\\u003eM4\\u0026thinsp;+\\u0026thinsp;M5\\u003c/p\\u003e\\n \\u003cp\\u003e[CI 95%]\\u003c/p\\u003e\\n \\u003c/th\\u003e\\n \\u003c/tr\\u003e\\n \\u003c/thead\\u003e\\n \\u003ctbody\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd align=\\\"left\\\"\\u003e\\n \\u003cp\\u003e\\u003cstrong\\u003eFree group\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd align=\\\"left\\\"\\u003e\\n \\u003cp\\u003e4,76\\u003c/p\\u003e\\n \\u003cp\\u003e[-4,5 a 14,1]\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd align=\\\"left\\\"\\u003e\\n \\u003cp\\u003e57,14\\u003c/p\\u003e\\n \\u003cp\\u003e[35,5 a 78,7]\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd align=\\\"left\\\"\\u003e\\n \\u003cp\\u003e61,90\\u003c/p\\u003e\\n \\u003cp\\u003e[40,7 a 83,1]\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003c/tbody\\u003e\\n \\u003ctfoot\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd colspan=\\\"4\\\"\\u003eCI 95% = 95% confidence interval\\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003c/tfoot\\u003e\\n \\u003c/table\\u003e\\n\\u003c/div\\u003e\\n\\u003cp\\u003eWhen the Oberlin group was subdivided into three subgroups according to the maximum interval between trauma and surgery (\\u0026le;\\u0026thinsp;6 months, \\u0026le;\\u0026thinsp;9 months, and \\u0026le;\\u0026thinsp;12 months), the proportion of good results (M4 or M5) showed a progressive but non statistically significant decline (Table \\u003cspan class=\\\"InternalRef\\\"\\u003e3\\u003c/span\\u003e). Similarly, no statistically significant differences were found when each Oberlin subgroup was compared individually with the Free group. Within the Oberlin group, however, increasing age was significantly associated with worse outcomes (p\\u0026thinsp;=\\u0026thinsp;0.02).\\u003c/p\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eTable 3\\u003c/strong\\u003e Oberlin subgroup analysis\\u0026mdash;good results (M4 or M5)\\u003c/p\\u003e\\n\\u003cdiv class=\\\"gridtable\\\"\\u003e\\n \\u003cp\\u003e\\u003cimg 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\\\"\\u003e\\u003c/p\\u003e\\n \\u003cp\\u003eCI 95% = 95% confidence interval\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/div\\u003e\"},{\"header\":\"Discussion\",\"content\":\"\\u003cp\\u003eThe predominance of young male patients corresponds to the demographic most commonly involved in motorcycle accidents, as widely reported in the literature, and reflects the substantial social and functional impact of brachial plexus injuries in this population [1\\u0026ndash;3]. The allocation of patients into groups was determined primarily by the time elapsed between trauma and presentation to a specialized referral center. Due to the limited availability of such centers, patients often present late for definitive management, which explains the 21 cases included in the Free group. Few Oberlin procedures were performed within three months of injury, reflecting the practical difficulty of early intervention. Previous epidemiological studies indicate that approximately 50% of patients reach specialized services more than six months post-trauma [3].\\u003c/p\\u003e \\u003cp\\u003eDetermining the upper limit beyond which neurotization is no longer advisable requires an understanding of the physiology of chronic denervation. Experimental studies have demonstrated that denervated muscles undergo irreversible changes even with early reinnervation [31\\u0026ndash;33]. After approximately one year, progressive muscle fiber atrophy and fatty replacement occur, supporting the recommendation that nerve transfers be performed within six to nine months after injury [34]. Despite this established physiological knowledge, clinical experience continues to show variability, and there is no absolute consensus regarding the precise cutoff time after which reinnervation procedures should be avoided [11]. In the present cohort, the interval between trauma and surgery in the Oberlin group was consistent with previously published data. Management in the Free group also followed current literature recommendations [22, 25, 28], favoring free functional muscle transfer when the likelihood of achieving satisfactory results with the Oberlin procedure is reduced. No upper time limit was imposed for the Free group, as this procedure utilizes an intact donor muscle (gracilis) and a healthy donor nerve (ulnar). Assuming that the timing of surgery does not significantly influence outcomes in the Free group, only the Oberlin group was subdivided according to the interval between trauma and surgery.\\u003c/p\\u003e \\u003cp\\u003eBeyond the time interval from trauma, the choice between these two surgical strategies should also consider technical complexity, morbidity, and rehabilitation requirements. The Oberlin procedure is relatively straightforward, involving a single approximately ten-cm incision, minimal donor nerve morbidity, and a short immobilization period of about two weeks. In contrast, free functional gracilis transfer is technically demanding, involving extensive donor-site dissection and morbidity (thigh), dual fixation points for the transferred muscle, and arterial and venous microanastomoses. It generally requires two surgical teams and mandates a longer postoperative immobilization period.\\u003c/p\\u003e \\u003cp\\u003eMultiple donor nerves have been described for restoring elbow flexion, including the pectoralis, thoracodorsal, phrenic, intercostal, spinal accessory, median, contralateral C7, and ulnar nerves [35\\u0026ndash;37]. The ulnar nerve was selected as the donor in the present cohort due to the extensive literature supporting its use since the original description by Oberlin et al. [14]. Its proximity to the recipient nerve, low donor-site morbidity, and consistent strength recovery make it a reliable choice. Rezende et al. [36] reported rates of \\u0026ge;M3 in 85% and \\u0026ge;M4 in 62% of patients when the procedure was performed 4.6\\u0026ndash;9 months after trauma. The British Medical Research Council (BMRC) scale is employed in approximately 80% of brachial plexus reports [38] and routinely used in our service to assess muscle strength. Although many authors consider M3 satisfactory, functional movement was defined here as the ability to overcome some resistance (M4), which was adopted as the threshold for a \\u0026ldquo;good\\u0026rdquo; result. Nevertheless, even when analyzed using the \\u0026ge;M3 threshold, no significant difference was found between the Oberlin and Free groups (79% and 85%, respectively).\\u003c/p\\u003e \\u003cp\\u003eSince the first free functional muscle transfer for elbow flexion described by Ikuta et al. [24], various donor nerves have been proposed. However, the use of the ulnar nerve as a donor for gracilis transfer remains less extensively explored, with only small case series available [31, 39]. Kay et al. [40] reported superior elbow flexion recovery in patients reinnervated with an ulnar donor (\\u0026ge;\\u0026thinsp;M3 in 70%) compared with those using intercostal donors.\\u003c/p\\u003e \\u003cp\\u003eThe statistical equivalence between the Free group, Oberlin group and subgroups suggest that time was not a determinant factor of outcome for the Oberlin surgery performed within 12 months of trauma and that its functional results were equivalent to those achieved with free gracilis transfer. In spite of the free functional gracilis transfer be considered highly effective option for restoring elbow flexion strength in brachial plexus injuries, the Oberlin procedure is well established in the literature, and considered simple, reproducible and associated with minimal morbidity and so should be considered the first-line option within the first year after injury. Free muscle transfer remains a safe and reliable alternative for patients with long-standing injuries or those beyond the optimal neurotization window. No inference can be made for Oberlin procedures performed beyond 12 months post-trauma.\\u003c/p\\u003e\"},{\"header\":\"Limitations and Strengths\",\"content\":\"\\u003cp\\u003eThe main limitations of this study include its retrospective design and the absence of randomization. However, all surgeries were performed by the same surgeon, all patients underwent identical rehabilitation protocols at the same institution, and muscle strength assessments were standardized using the BMRC scale, which helps mitigate these limitations. Randomization was not considered appropriate, as clinical criteria and time since trauma naturally guide the choice of technique, rendering random allocation ethically questionable.\\u003c/p\\u003e \\u003cp\\u003eStrengths of the present study include the relatively large Free group (21 patients), which represents one of the largest series using the ulnar nerve as a donor for free functional gracilis transfer. The study groups were homogeneous, with no statistically significant differences in age, side, level of injury, follow-up duration, or complementary procedures.\\u003c/p\\u003e\"},{\"header\":\"Conclusion\",\"content\":\"\\u003cp\\u003eIn the surgical treatment of upper brachial plexus injuries, the Oberlin procedure and free functional gracilis muscle transfer achieved comparable results in elbow flexion strength recovery. The Oberlin procedure should be preferred within the first year of trauma because of its simplicity, low morbidity, and reproducibility, while free gracilis transfer remains an excellent alternative for delayed cases or when direct neurotization is no longer feasible. This study provides evidence-based considerations to help optimize surgical decision-making and maximize functional recovery in patients with upper brachial plexus injuries.\\u003c/p\\u003e\"},{\"header\":\"Declarations\",\"content\":\"\\u003ch2\\u003eFunding\\u003c/h2\\u003e \\u003cp\\u003eNo funding was received for conducting this study.\\u003c/p\\u003e\\u003ch2\\u003eAuthor Contribution\\u003c/h2\\u003e\\u003cp\\u003eA. I. Sousa Neto Methodology, Writing \\u0026ndash; review and editing, Conceptualization, Project administration. F. F. Urquiza: Writing \\u0026ndash; original draft, Data curation, Investigation. A. B. Cho Methodology, Formal analysis. R. B. Iamaguchi: Data curation, Formal analysis, Project administration. L.Y. Kiyohara Data curation, Formal analysis, Validation. M. R. Rezende Methodology, Writing \\u0026ndash; review and editing, Supervision, Visualization, Conceptualization.\\u003c/p\\u003e\\u003ch2\\u003eData Availability\\u003c/h2\\u003e\\u003cp\\u003eThe datasets generated and analyzed during the current study are not publicly available due to confidentiality concerns but are available from the corresponding author on reasonable request.\\u003c/p\\u003e\\n\\u003ch3\\u003eEthics Committee Approval\\u003c/h3\\u003e\\n\\u003cp\\u003e This study was approved by the institution's Ethics Committee, according to opinion number 1.037.494/2015.\\u003c/p\\u003e\"},{\"header\":\"References\",\"content\":\"\\u003col\\u003e\\u003cli\\u003e\\u003cspan\\u003e Midha R (1997). Epidemiology of brachial plexus injuries in a multitrauma population. Neurosurgery 40:1182\\u0026ndash;1189. https://doi.org/10.1097/00006123-199706000-00014\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Rezende MR, Silva GB, Paula EJ, Mattar Junior R, Camargo OP (2013) What has changed in brachial plexus surgery?. Clinics (Sao Paulo) 68:411\\u0026ndash;418. https://doi.org/10.6061/clinics/2013(03)r02\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Flores LP (2006) Epidemiological study of the traumatic brachial plexus injuries in adults. Arq Neuropsiquiatr 64:88\\u0026ndash;94. https://doi.org/10.1590/s0004-282x2006000100018\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Narakas AO (1985) The treatment of brachial plexus injuries. Int Orthop 9:29\\u0026ndash;36. https://doi.org/10.1007/BF00267034\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Giuffre JL, Kakar S, Kakar S, Bishop AT, Spinner RJ, Shin AY (2010) Current concepts of the treatment of adult brachial plexus injuries. J Hand Surg Am 35:678\\u0026ndash;688. https://doi.org/10.1016/j.jhsa.2010.01.021\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Flores LP (2011) Brachial plexus surgery: the role of the surgical technique for improvement of the functional outcome. Arq Neuropsiquiatr 69:660\\u0026ndash;665. https://doi.org/10.1590/s0004-282x2011000500016\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Colbert SH, Mackinnon SE (2008) Nerve transfers for brachial plexus reconstruction. Hand Clin;24(4):341\\u0026ndash;361. https://doi.org/10.1016/j.hcl.2008.07.001\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Monreal R (2007) Restoration of elbow flexion by transfer of the phrenic nerve to musculocutaneous nerve after brachial plexus injuries. Hand (N Y) 2:206\\u0026ndash;211. https://doi.org/10.1007/s11552-007-9050-6\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Martins RS, Siqueira MG, Heise CO, Foroni L, Teixeira MJ (2013) A prospective study comparing single and double fascicular transfer to restore elbow flexion after brachial plexus injury. Neurosurgery 72:709\\u0026ndash;714. https://doi.org/10.1227/NEU.0b013e318285c3f6\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Emamhadi M, Behzadnia H, Zamanidoust M, Baghi I, Ebrahimian R, Emamhadi R, Andalib S (2021) Intercostal or ulnar nerve: which donor nerve is to be used for reanimation of elbow flexion? Musculoskelet Surg 105:183\\u0026ndash;188. https://doi.org/10.1007/s12306-020-00653-z\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Cho \\u0026Aacute;B, Ferreira CHV, Towata F, Almeida GC, Sorrenti L, Kiyohara LY (2020) Feasibility of the Oberlin procedure in late presentation cases of C5-C6 and C5-C7 brachial plexus injuries in adults. Hand (N Y) 17: 214\\u0026ndash;218. https://doi.org/10.1177/1558944720918325\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Narakas AO, Hentz VR (1988) Neurotization in brachial plexus injuries. Indication and results. Clin Orthop Relat Res (237):43\\u0026ndash;56\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Bengtson KA, Spinner RJ, Bishop AT, Kaufman KR, Coleman-Wood K, Kircher MF, Shin AY (2008) Measuring outcomes in adult brachial plexus reconstruction. Hand Clin 24:401\\u0026ndash;415.\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Oberlin C, B\\u0026eacute;al D, Leechavengvongs S, Salon A, Dauge MC, Sarcy JJ (1994) Nerve transfer to biceps muscle using a part of ulnar nerve for C5-C6 avulsion of the brachial plexus: anatomical study and report of four cases. J Hand Surg Am 19:232\\u0026ndash;237. https://doi.org/10.1016/0363-5023(94)90011-6\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Venkatramani H, Bhardwaj P, Faruquee SR, Sabapathy SR (2008) Functional outcome of nerve transfer for restoration of shoulder and elbow function in upper brachial plexus injury. J Brachial Plex Peripher Nerve Inj 3:15. https://doi.org/10.1186/1749-7221-3-15\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Ricardo M (2005) Surgical treatment of brachial plexus injuries in adults. Int Orthop 29:351\\u0026ndash;354. https://doi.org/10.1007/s00264-005-0017-3\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Nagano Y, Kawamura D, Terkawi A, Urita A, Matsui Y, Iwasaki N (2019) Minimum ten-year outcomes of partial ulnar nerve transfer for restoration of elbow flexion in patients with upper brachial plexus injury. J Hand Surg Asian Pac Vol 24:283\\u0026ndash;288. https://doi.org/10.1142/S2424835519500358\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Bertelli JA, Ghizoni MF (2004) Reconstruction of C5 and C6 brachial plexus avulsion injury by multiple nerve transfers: spinal accessory to suprascapular, ulnar fascicles to biceps branch, and triceps long or lateral head branch to axillary nerve. J Hand Surg Am 29:131\\u0026ndash;139. https://doi.org/10.1016/j.jhsa.2003.10.013\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Mackinnon SE, Novak CB, Myckatyn TM, Tung TH (2005) Results of reinnervation of the biceps and brachialis muscles with a double fascicular transfer for elbow flexion. J Hand Surg Am 30:978\\u0026ndash;985. https://doi.org/10.1016/j.jhsa.2005.05.014\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Merrell GA, Barrie KA, Katz DL, Wolfe SW (2001) Results of nerve transfer techniques for restoration of shoulder and elbow function: meta-analysis of the English literature. J Hand Surg Am 26:303\\u0026ndash;314. https://doi.org/10.1053/jhsu.2001.21518 21. Gousheh J, Arasteh E (2010) Upper limb functional restoration in old and complete brachial plexus paralysis. J Hand Surg Eur Vol 35:16\\u0026ndash;22. https://doi.org/10.1177/1753193409348182\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Bishop AT (2005) Functioning free-muscle transfer for brachial plexus injury. Hand Clin 21:91\\u0026ndash;102. https://doi.org/10.1016/j.hcl.2004.10.005\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Akasaka Y, Hara T, Takahashi M (1990) Restoration of elbow flexion and wrist extension in brachial plexus paralyses by means of free muscle transplantation innervated by intercostal nerve. Ann Chir Main Memb Super 9:341\\u0026ndash;350. https://doi.org/10.1016/s0753-9053(05)80507-1\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Ikuta Y, Yoshioka K, Tsuge K (1979) Free muscle graft as applied to brachial plexus injury: case report and experimental study. Ann Acad Med Singap 8:454\\u0026ndash;458\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Coquerel-Beghin D, Milliez PY, Auquit-Auckbur I, Lemierre G, Duparc F (2006) The gracilis musculocutaneous flap: vascular supply of the muscle and skin components. Surg Radiol Anat 28:588\\u0026ndash;595. https://doi.org/10.1007/s00276-006-0150-8\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Hattori Y, Doi K, Abe Y, Ikeda K, Dhawan V (2002) Surgical approach to the vascular pedicle of the gracilis muscle flap. J Hand Surg Am 27:534\\u0026ndash;536. https://doi.org/10.1053/jhsu.2002.32962\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Rezende MR, Carvalho A, Marciano F, Herrera PH, Mattar J\\u0026uacute;nior R, Zumiotti AV, MESQUITA IV (2005) Gracilis muscle flap: anatomical study and clinical use. Rev Bras Ortop 40:428\\u0026ndash;438\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Macchi V, Vigato E, Porzionato A, Tiengo C, Stecco C, Parenti A, et al. (2008) The gracilis muscle and its use in clinical reconstruction: an anatomical, embryological, and radiological study. Clin Anat 21:696\\u0026ndash;704. https://doi.org/10.1002/ca.20685\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Barrie KA, Steinmann SP, Shin AY, Spinner RJ, Bishop AT (2004) Gracilis free muscle transfer for restoration of function after complete brachial plexus avulsion. Neurosurg Focus 16(5):E8. https://doi.org/10.3171/foc.2004.16.5.9\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Nagano A, Ochiai N, Okinaga S (1992) Restoration of elbow flexion in root lesions of brachial plexus injuries. J Hand Surg Am 17:815\\u0026ndash;821. https://doi.org/10.1016/0363-5023(92)90450-4\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Sungpet A, Suphachatwong C, Kawinwonggowit V (2003) Transfer of one fascicle of ulnar nerve to functioning free gracilis muscle transplantation for elbow flexion. ANZ J Surg 73:133\\u0026ndash;135. https://doi.org/10.1046/j.1445-2197.2003.02654.x\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Sunderland S, Ray LJ (1950) Denervation changes in mammalian striated muscle. J Neurol Neurosurg Psychiatry 13:159\\u0026ndash;177. https://doi.org/10.1136/jnnp.13.3.159\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Stewart DM, Sola OM, Martin AW (1972) Hypertrophy as a response to denervation in skeletal muscle. J Physiol (Lond) 76:146\\u0026ndash;167\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Manktelow RT (1984) Functioning muscle transplantation to the upper limb. Clin Plast Surg 1:59\\u0026ndash;63.\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Coulet B, Boretto JG, Lazerges C, Chammas M (2010) A comparison of intercostal and partial ulnar nerve transfers in restoring elbow flexion following upper brachial plexus injury (C5-C6\\u0026thinsp;\\u0026plusmn;\\u0026thinsp;C7). J Hand Surg Am 35:1297\\u0026ndash;1303. https://doi.org/10.1016/j.jhsa.2010.04.025\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Rezende MR, Rabelo NT, Silveira CC, Petersen PA, Paula EJ, Mattar R (2012) Results of ulnar nerve neurotization to brachial biceps muscle in brachial plexus injury. Acta Ortop Bras 20:317\\u0026ndash;323. https://doi.org/10.1590/S1413-78522012000600001\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Songcharoen P, Mahaisavariya B, Chotigavanich C (1996) Spinal accessory neurotization for restoration of elbow flexion in avulsion injuries of the brachial plexus. J Hand Surg Am 21A:387\\u0026ndash;390. https://doi.org/10.1016/S0363-5023(96)80349-2\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Dy CJ, Garg R, Lee SK, Tow P, Mancuso CA, Wolfe SW (2015) A systematic review of outcomes reporting for brachial plexus reconstruction. J Hand Surg Am 40:308\\u0026ndash;313. https://doi.org/10.1016/j.jhsa.2014.10.033\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Cho AB, Bersani Silva G, Pisani MJ, Alves JA, Iamaguchi RB, Wei TH, de Rezende MR (2019) Comparison between donor nerves to motorize the free functional gracilis muscle transfer for elbow flexion: retrospective study of 38 consecutive cases in traumatic adult brachial plexus injuries. Microsurgery 39:400\\u0026ndash;404. https://doi.org/10.1002/micr.30426\\u003c/span\\u003e\\u003c/li\\u003e \\u003cli\\u003e\\u003cspan\\u003e Kay S, Pinder R, Wiper J, Hart A, Jones F, Yates A (2010) Microvascular free functioning gracilis transfer with nerve transfer to establish elbow flexion. J Plast Reconstr Aesthet Surg 63:1142\\u0026ndash;1149. https://doi.org/10.1016/j.bjps.2009.05.021\\u003c/span\\u003e\\u003c/li\\u003e\\u003c/ol\\u003e\"}],\"fulltextSource\":\"\",\"fullText\":\"\",\"funders\":[],\"hasAdminPriorityOnWorkflow\":false,\"hasManuscriptDocX\":true,\"hasOptedInToPreprint\":true,\"hasPassedJournalQc\":\"\",\"hasAnyPriority\":true,\"hideJournal\":true,\"highlight\":\"\",\"institution\":\"\",\"isAcceptedByJournal\":false,\"isAuthorSuppliedPdf\":false,\"isDeskRejected\":\"\",\"isHiddenFromSearch\":false,\"isInQc\":false,\"isInWorkflow\":false,\"isPdf\":false,\"isPdfUpToDate\":true,\"isWithdrawnOrRetracted\":false,\"journal\":{\"display\":true,\"email\":\"info@researchsquare.com\",\"identity\":\"researchsquare\",\"isNatureJournal\":false,\"hasQc\":true,\"allowDirectSubmit\":true,\"externalIdentity\":\"\",\"sideBox\":\"\",\"snPcode\":\"\",\"submissionUrl\":\"/submission\",\"title\":\"Research Square\",\"twitterHandle\":\"researchsquare\",\"acdcEnabled\":true,\"dfaEnabled\":false,\"editorialSystem\":\"\",\"reportingPortfolio\":\"\",\"inReviewEnabled\":false,\"inReviewRevisionsEnabled\":true},\"keywords\":\"Nerve transfer, Free tissue flaps, Brachial plexus, Ulnar nerve, Free gracilis transfer\",\"lastPublishedDoi\":\"10.21203/rs.3.rs-8856195/v1\",\"lastPublishedDoiUrl\":\"https://doi.org/10.21203/rs.3.rs-8856195/v1\",\"license\":{\"name\":\"CC BY 4.0\",\"url\":\"https://creativecommons.org/licenses/by/4.0/\"},\"manuscriptAbstract\":\"\\u003ch2\\u003ePurpose\\u003c/h2\\u003e \\u003cp\\u003eThere is a general consensus in the literature regarding the excellent outcomes achieved with the Oberlin procedure for the treatment of upper brachial plexus injuries (C5\\u0026ndash;C6 and/or C7) in restoring elbow flexion. However, some limitations exist when this procedure is performed long after the initial trauma. An alternative is the free gracilis muscle transfer, using a fascicle of the ulnar nerve as the donor nerve. The aim of this study was to compare the Oberlin procedure and free functional gracilis muscle transfer in terms of elbow flexion strength recovery.\\u003c/p\\u003e\\u003ch2\\u003eMethods\\u003c/h2\\u003e \\u003cp\\u003eA non-randomized retrospective cohort study was conducted comparing these two techniques in 69 patients with upper brachial plexus injuries, evaluating postoperative elbow flexion strength. The minimum follow-up period was 12 months.\\u003c/p\\u003e\\u003ch2\\u003eResults\\u003c/h2\\u003e \\u003cp\\u003eWith regard to elbow flexion recovery, there was no statistically significant difference in the proportion of good results (M4 strength) between the two groups (60.4% for the Oberlin group and 61.9% for the free gracilis group). When subdividing the Oberlin group according to the maximum time interval between injury and surgery (\\u0026le;\\u0026thinsp;6, \\u0026le;\\u0026thinsp;9, and \\u0026le;\\u0026thinsp;12 months), the rates of good results (M4) were 65.2%, 60.4%, and 58.3%, respectively. No statistically significant differences were found either among these subgroups or between any of them and the free muscle transfer group.\\u003c/p\\u003e\\u003ch2\\u003eConclusion\\u003c/h2\\u003e \\u003cp\\u003eThe Oberlin procedure provides elbow flexion strength comparable to that achieved with free functional muscle transfer when performed within 12 months after the initial brachial plexus injury.\\u003c/p\\u003e\",\"manuscriptTitle\":\"Comparative Study of Elbow-Flexion Gain in Patients with Upper Brachial Plexus Injury Using the Oberlin Neurotization Technique versus Free Gracilis Muscle Transplantation Neurotized with an Ulnar Nerve Fascicle.\",\"msid\":\"\",\"msnumber\":\"\",\"nonDraftVersions\":[{\"code\":1,\"date\":\"2026-02-19 12:38:04\",\"doi\":\"10.21203/rs.3.rs-8856195/v1\",\"editorialEvents\":[{\"type\":\"communityComments\",\"content\":0}],\"status\":\"published\",\"journal\":{\"display\":true,\"email\":\"info@researchsquare.com\",\"identity\":\"researchsquare\",\"isNatureJournal\":false,\"hasQc\":true,\"allowDirectSubmit\":true,\"externalIdentity\":\"\",\"sideBox\":\"\",\"snPcode\":\"\",\"submissionUrl\":\"/submission\",\"title\":\"Research Square\",\"twitterHandle\":\"researchsquare\",\"acdcEnabled\":true,\"dfaEnabled\":false,\"editorialSystem\":\"\",\"reportingPortfolio\":\"\",\"inReviewEnabled\":false,\"inReviewRevisionsEnabled\":true}}],\"origin\":\"\",\"ownerIdentity\":\"925ef836-67fc-4350-9b1c-5c10fbd26b25\",\"owner\":[],\"postedDate\":\"February 19th, 2026\",\"published\":true,\"recentEditorialEvents\":[],\"rejectedJournal\":[],\"revision\":\"\",\"amendment\":\"\",\"status\":\"posted\",\"subjectAreas\":[],\"tags\":[],\"updatedAt\":\"2026-02-23T12:41:34+00:00\",\"versionOfRecord\":[],\"versionCreatedAt\":\"2026-02-19 12:38:04\",\"video\":\"\",\"vorDoi\":\"\",\"vorDoiUrl\":\"\",\"workflowStages\":[]},\"version\":\"v1\",\"identity\":\"rs-8856195\",\"journalConfig\":\"researchsquare\"},\"__N_SSP\":true},\"page\":\"/article/[identity]/[[...version]]\",\"query\":{\"redirect\":\"/article/rs-8856195\",\"identity\":\"rs-8856195\",\"version\":[\"v1\"]},\"buildId\":\"XKTyCvWXoU3ODBz1xrDgd\",\"isFallback\":false,\"isExperimentalCompile\":false,\"dynamicIds\":[84888],\"gssp\":true,\"scriptLoader\":[]}","source_license":"CC-BY-4.0","license_restricted":false}