Jayaletchumi Gunasagaran, Nuraliza Ab Wahab, Saw Sian Khoo, Shams Amir Shamsul, Sachin Shivdas, Shahrul Hashim, Tunku Sara Ahmad
{"title":"电视胸腔镜手术（VATS）辅助全长膈神经移植恢复肘关节屈曲。","authors":"Jayaletchumi Gunasagaran, Nuraliza Ab Wahab, Saw Sian Khoo, Shams Amir Shamsul, Sachin Shivdas, Shahrul Hashim, Tunku Sara Ahmad","doi":"10.1177/10225536231180330","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>In complete brachial plexus injury, phrenic nerve (PN) is frequently used in neurotization for elbow flexion restoration. The advancement in video-assisted thoracoscopic surgery (VATS) allows full-length PN dissection intrathoracically for direct coaptation to recipient without nerve graft.</p><p><strong>Purpose: </strong>We report our experience in improving the surgical technique and its outcome.</p><p><strong>Methods: </strong>Seven patients underwent PN dissection via VATS and full-length transfer to musculocutaneous nerve (MCN) or motor branch of biceps (MBB) from June 2015 to June 2018. Comparisons were made with similar group of patients who underwent conventional PN transfer.</p><p><strong>Results: </strong>Mean age of patients was 21.9 years. All were males involved in motorcycle accidents who sustained complete brachial plexus injury. We found the elbow flexion recovery were earlier in full-length PN transfer. However, there was no statistically significant difference in elbow flexion strength at 3 years post-surgery.</p><p><strong>Conclusion: </strong>We propose full-length PN transfer for restoration of elbow flexion in patients with delayed presentation.</p>","PeriodicalId":48794,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"31 2","pages":"10225536231180330"},"PeriodicalIF":1.3000,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Video-assisted thoracoscopic surgery (VATS) aided full-length phrenic nerve transfer for restoration of elbow flexion.\",\"authors\":\"Jayaletchumi Gunasagaran, Nuraliza Ab Wahab, Saw Sian Khoo, Shams Amir Shamsul, Sachin Shivdas, Shahrul Hashim, Tunku Sara Ahmad\",\"doi\":\"10.1177/10225536231180330\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>In complete brachial plexus injury, phrenic nerve (PN) is frequently used in neurotization for elbow flexion restoration. The advancement in video-assisted thoracoscopic surgery (VATS) allows full-length PN dissection intrathoracically for direct coaptation to recipient without nerve graft.</p><p><strong>Purpose: </strong>We report our experience in improving the surgical technique and its outcome.</p><p><strong>Methods: </strong>Seven patients underwent PN dissection via VATS and full-length transfer to musculocutaneous nerve (MCN) or motor branch of biceps (MBB) from June 2015 to June 2018. Comparisons were made with similar group of patients who underwent conventional PN transfer.</p><p><strong>Results: </strong>Mean age of patients was 21.9 years. All were males involved in motorcycle accidents who sustained complete brachial plexus injury. We found the elbow flexion recovery were earlier in full-length PN transfer. However, there was no statistically significant difference in elbow flexion strength at 3 years post-surgery.</p><p><strong>Conclusion: </strong>We propose full-length PN transfer for restoration of elbow flexion in patients with delayed presentation.</p>\",\"PeriodicalId\":48794,\"journal\":{\"name\":\"Journal of Orthopaedic Surgery\",\"volume\":\"31 2\",\"pages\":\"10225536231180330\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2023-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Orthopaedic Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/10225536231180330\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Orthopaedic Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10225536231180330","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Video-assisted thoracoscopic surgery (VATS) aided full-length phrenic nerve transfer for restoration of elbow flexion.
Background: In complete brachial plexus injury, phrenic nerve (PN) is frequently used in neurotization for elbow flexion restoration. The advancement in video-assisted thoracoscopic surgery (VATS) allows full-length PN dissection intrathoracically for direct coaptation to recipient without nerve graft.
Purpose: We report our experience in improving the surgical technique and its outcome.
Methods: Seven patients underwent PN dissection via VATS and full-length transfer to musculocutaneous nerve (MCN) or motor branch of biceps (MBB) from June 2015 to June 2018. Comparisons were made with similar group of patients who underwent conventional PN transfer.
Results: Mean age of patients was 21.9 years. All were males involved in motorcycle accidents who sustained complete brachial plexus injury. We found the elbow flexion recovery were earlier in full-length PN transfer. However, there was no statistically significant difference in elbow flexion strength at 3 years post-surgery.
Conclusion: We propose full-length PN transfer for restoration of elbow flexion in patients with delayed presentation.
期刊介绍：
Journal of Orthopaedic Surgery is an open access peer-reviewed journal publishing original reviews and research articles on all aspects of orthopaedic surgery. It is the official journal of the Asia Pacific Orthopaedic Association.
The journal welcomes and will publish materials of a diverse nature, from basic science research to clinical trials and surgical techniques. The journal encourages contributions from all parts of the world, but special emphasis is given to research of particular relevance to the Asia Pacific region.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
