Gunasagaran, Jayaletchumi and Ab Wahab, Nuraliza and Khoo, Saw Sian and Shamsul, Shams Amir and Shivdas, Sachin and Hashim, Shahrul and Ahmad, Tunku Sara (2023) Video-assisted thoracoscopic surgery (VATS) aided full-length phrenic nerve transfer for restoration of elbow flexion. Journal of Orthopaedic Surgery, 31 (2). ISSN 1022-5536, DOI https://doi.org/10.1177/10225536231180330.
Full text not available from this repository.Abstract
BackgroundIn 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.PurposeWe report our experience in improving the surgical technique and its outcome.MethodsSeven 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.ResultsMean 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.ConclusionWe propose full-length PN transfer for restoration of elbow flexion in patients with delayed presentation.
| Item Type: | Article |
|---|---|
| Funders: | UNSPECIFIED |
| Uncontrolled Keywords: | thoracoscopic surgery; phrenic nerve transfer; neurotization; brachial plexus injury |
| Subjects: | R Medicine > RD Surgery |
| Divisions: | Faculty of Medicine > Orthopaedic Surgery Department Faculty of Medicine > Surgery Department |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 29 Jul 2025 05:02 |
| Last Modified: | 29 Jul 2025 05:02 |
| URI: | http://eprints.um.edu.my/id/eprint/50768 |
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