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CompletedNCT07879794Updated Oct 19, 2026

Elbow Flexion Reanimation in Patients With Traumatic Brachial Plexus Injury

An observational study in Elbow Flexion, Reanimation and Traumatic Brachial Plexus Injury, sponsored by Tanta University. Completed at 1 site in Egypt. Open to participants aged Up to 70 Years. Per ClinicalTrials.gov, last updated 2026-10-19.

Sponsored by Tanta University · Observational

Updated Oct 19, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
30
Ages
Up to 70 Years
Sex
All
01

Study summary

This study aimed to evaluate the effectiveness of different techniques in the restoration of elbow flexion in post-traumatic brachial plexus patients as regards timing and degree of recovery.

Read the detailed description

Traumatic brachial plexus injuries (BPI) are devastating life-altering events, with pervasive detrimental effects on a patient's physical, psychosocial and financial well-being. A full spectrum of techniques including neurolysis, nerve grafting, nerve transfers, free functional muscle transfers, tendon transfers, and joint arthrodesis.

Restoration of elbow flexion is an important goal in the treatment of patients with traumatic brachial plexus injury (BPI). The majority of patients with traumatic BPIs have injuries to the proximal elements of the spinal nerve roots or rootlets, which needs interposition nerve grafting. To restore elbow flexion in patients with preganglionic or avulsion injuries nerve transfers are a valuable option. Consequently, neurotization is frequently used as the primary reconstruction option in patients with deficient elbow flexion following traumatic BPIs.

02

Conditions studied

  • Elbow Flexion
  • Reanimation
  • Traumatic Brachial Plexus Injury
03

In context

Lead sponsor

Tanta University is the lead sponsor of 991 studies on the registry; 316 are open to participants now.

Of its 16 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

This prospective study was carried out on 30 patients admitted to neurosurgery department Faculty of Medicine, Tanta University and Mansoura university in the period from April 2023 to August 2025 presented with post-traumatic brachial plexus injury with failed conservative measurements for at least three months.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Post-traumatic brachial plexus injury affecting elbow flexion.
  • Less than 18 months post-traumatic interval.
  • Not previously operated for microsurgical repair of brachial plexus.

Exclusion criteria

Exclusion Criteria:

  • More than 18 months post-traumatic interval.
  • Old patient more than 70 years with multiple co morbidities.
  • Neglected patient with atrophied limb, muscle fibrosis and joint stiffness.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
30 participants (actual)
Patient registry
No

Groups and cohorts

  • Oberlin transfer group

    Patients with traumatic brachial plexus injury affecting elbow flexion who underwent Oberlin nerve transfer.

    Procedure: Oberlin Nerve Transfer

  • Intercostal transfer group

    Patients with traumatic brachial plexus injury affecting elbow flexion who underwent intercostal nerve transfer.

    Procedure: Intercostal Nerve Transfer

Interventions

  • ProcedureOberlin Nerve Transfer

    Patients with traumatic brachial plexus injury affecting elbow flexion who underwent Oberlin nerve transfer. A motor fascicle of the ulnar nerve supplying the flexor carpi ulnaris was transferred to the biceps motor branch of the musculocutaneous nerve using tension-free microsurgical sutures reinforced with fibrin glue. Patients underwent postoperative immobilization followed by individualized rehabilitation and clinical assessment of elbow flexion recovery using the Medical Research Council muscle strength scale.

  • ProcedureIntercostal Nerve Transfer

    Patients with traumatic brachial plexus injury affecting elbow flexion who underwent intercostal nerve transfer. Two intercostal nerves were harvested, passed through a subcutaneous axillary tunnel, and transferred to the biceps motor branch of the musculocutaneous nerve. Patients underwent postoperative immobilization followed by individualized rehabilitation and clinical assessment of elbow flexion recovery using the Medical Research Council muscle strength scale.

06

What researchers measure

Primary outcomes

  1. Assessment of Elbow Flexion Muscle Strength

    Postoperative elbow flexion muscle strength assessed using the Medical Research Council (MRC) scale and compared between the Oberlin nerve transfer and intercostal nerve transfer cohorts. Scores range from 0 (no muscle contraction) to 5 (normal muscle strength), with higher scores indicating better recovery. Useful motor recovery is defined as an MRC grade of 3 or higher, indicating elbow flexion against gravity.

    Time frame: 24 months after surgery

07

Study locations

1 site
  • Tanta University
    Tanta, El-Gharbia 31527, Egypt
08

References and documents

Individual participant data

Plan to share: Yes — The data will be available upon a reasonable request from the corresponding author after the end of study for one year.

Supporting information: Study protocol

Time frame: After the end of study for one year.

Access criteria: The data will be available upon a reasonable request from the corresponding author.

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 19, 2026
Show all 1 update
  1. Oct 19, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07879794
Lead sponsor
Tanta University
Responsible party
Moustafa Ahmed Moustafa Aboushehata (Assistant Lecturer of Neurosurgery, Tanta University, Tanta, Egypt., Tanta University) — Principal investigator
First posted
Oct 19, 2026
Start date
Apr 7, 2023
Primary completion
Aug 23, 2025
Completion
Aug 23, 2025
Last update
Oct 19, 2026

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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