Direct Coaptation of the Phrenic Nerve With the Posterior Division of the Lower Trunk to Restore Finger and Elbow Extension Function in Patients With Total Brachial Plexus Injuries
ABSTRACT BACKGROUND: To overcome the mismatch in nerve sizes in phrenic nerve transfer to the radial nerve for elbow and finger extension reanimation for patients with total brachial plexus injuries (TBPI), a selective neurotization procedure was designed. OBJECTIVE: To investigate the long-term res...
Gespeichert in:
| Veröffentlicht in: | Neurosurgery 2016-02, Vol.78 (2), p.208-215 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 215 |
|---|---|
| container_issue | 2 |
| container_start_page | 208 |
| container_title | Neurosurgery |
| container_volume | 78 |
| creator | Wang, Shu-feng Li, Peng-cheng Xue, Yun-hao Zou, Ji-yao Li, Wen-jun Li, Yucheng |
| description | ABSTRACT
BACKGROUND:
To overcome the mismatch in nerve sizes in phrenic nerve transfer to the radial nerve for elbow and finger extension reanimation for patients with total brachial plexus injuries (TBPI), a selective neurotization procedure was designed.
OBJECTIVE:
To investigate the long-term results of phrenic nerve transfer to the posterior division of the lower trunk with direct coaptation in restoring elbow and finger extension after TBPI.
METHODS:
Phrenic nerve was transferred to and directly coapted with the posterior division of the lower trunk in 27 patients with TBPI. Seven patients were |
| doi_str_mv | 10.1227/NEU.0000000000001008 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1760865723</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1227/NEU.0000000000001008</oup_id><sourcerecordid>2357579443</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4248-37123c84ea0f11646b38956765ef5138db17bbe2ec0a5198e47f90ccd2c64b4f3</originalsourceid><addsrcrecordid>eNqNkc9uEzEQxi0EoqXwBghZ4sIlre31rr1HSBOoFJUIpYLbyuvMsk43dvCfprwXD4jTLajqBXwZa_T75pvRh9BrSk4pY-LscnZ1Sh48Soh8go5pyfiEE06eomNCuZwUdfXtCL0IYZOZigv5HB2xquCSkPoY_To3HnTEU6d2UUXjLHYdjj3gZe_BGo0vwd8A_mpiP7ZdiOCN8_jc3JjwQLBwe_B45ZO9xtHhLxCi84Dnxn7PfWXXeDa0bo9ntxHsnXCerL6zNBYvsznYGEanlYtqwB-80r3Jn-UAtyngC7tJ3kB4iZ51agjw6r6eoKv5bDX9NFl8_ngxfb-YaM4OlwvKCi05KNLRfHrVFrIuK1GV0JW0kOuWirYFBpqoktYSuOhqovWa6Yq3vCtO0Ltx7s67Hynf02xN0DAMyoJLoaGiIrIqBSsy-vYRunHJ27xdw4pSlKLm_EDxkdLeheCha3bebJX_2VDSHFJtcqrN41Sz7M398NRuYf1X9CfGDMgR2LshpxOuh5SzaHpQQ-z_NftslLq0-79tfgPxm7z6</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2357579443</pqid></control><display><type>article</type><title>Direct Coaptation of the Phrenic Nerve With the Posterior Division of the Lower Trunk to Restore Finger and Elbow Extension Function in Patients With Total Brachial Plexus Injuries</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Wang, Shu-feng ; Li, Peng-cheng ; Xue, Yun-hao ; Zou, Ji-yao ; Li, Wen-jun ; Li, Yucheng</creator><creatorcontrib>Wang, Shu-feng ; Li, Peng-cheng ; Xue, Yun-hao ; Zou, Ji-yao ; Li, Wen-jun ; Li, Yucheng</creatorcontrib><description>ABSTRACT
BACKGROUND:
To overcome the mismatch in nerve sizes in phrenic nerve transfer to the radial nerve for elbow and finger extension reanimation for patients with total brachial plexus injuries (TBPI), a selective neurotization procedure was designed.
OBJECTIVE:
To investigate the long-term results of phrenic nerve transfer to the posterior division of the lower trunk with direct coaptation in restoring elbow and finger extension after TBPI.
METHODS:
Phrenic nerve was transferred to and directly coapted with the posterior division of the lower trunk in 27 patients with TBPI. Seven patients were <18 years old (adolescent group), and the remaining 20 patients ≥18 years (adult group).
RESULTS:
Postoperative mean follow-up period was 54 ± 9 months (range, 48-85 months). The motor function attained M3 or greater in 81.5% of patients for elbow extension and in 48% of patients for finger extension. The percentage of patients who regained M3 or greater muscle power of finger extension in the adolescent group and the adult group was 71.4%, and 40%, respectively. Meanwhile, 85.7% in the adolescent group and 80% in the adult group achieved M3 or greater muscle power of elbow extension. There were no significant differences between the 2 groups. The elbow extension and finger extension were synchronous contractions and did not become independent of respiratory effort.
CONCLUSION:
This procedure simultaneously and effectively restores the function of elbow and finger extension in patients after TBPI. However, the patients could not do elbow and finger extension separately.</description><identifier>ISSN: 0148-396X</identifier><identifier>EISSN: 1524-4040</identifier><identifier>DOI: 10.1227/NEU.0000000000001008</identifier><identifier>PMID: 26348009</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Adolescent ; Adult ; Brachial plexus ; Brachial Plexus - injuries ; Brachial Plexus - surgery ; Child ; Child, Preschool ; Elbow ; Elbow - surgery ; Female ; Fingers - surgery ; Follow-Up Studies ; Humans ; Joint and ligament injuries ; Male ; Nerve Transfer - methods ; Neurosurgery ; Phrenic Nerve - surgery ; Phrenic Nerve - transplantation ; Recovery of Function - physiology ; Young Adult</subject><ispartof>Neurosurgery, 2016-02, Vol.78 (2), p.208-215</ispartof><rights>Copyright © 2015 by the Congress of Neurological Surgeons 2015</rights><rights>Copyright © by the Congress of Neurological Surgeons</rights><rights>Copyright © 2015 by the Congress of Neurological Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4248-37123c84ea0f11646b38956765ef5138db17bbe2ec0a5198e47f90ccd2c64b4f3</citedby><cites>FETCH-LOGICAL-c4248-37123c84ea0f11646b38956765ef5138db17bbe2ec0a5198e47f90ccd2c64b4f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26348009$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Shu-feng</creatorcontrib><creatorcontrib>Li, Peng-cheng</creatorcontrib><creatorcontrib>Xue, Yun-hao</creatorcontrib><creatorcontrib>Zou, Ji-yao</creatorcontrib><creatorcontrib>Li, Wen-jun</creatorcontrib><creatorcontrib>Li, Yucheng</creatorcontrib><title>Direct Coaptation of the Phrenic Nerve With the Posterior Division of the Lower Trunk to Restore Finger and Elbow Extension Function in Patients With Total Brachial Plexus Injuries</title><title>Neurosurgery</title><addtitle>Neurosurgery</addtitle><description>ABSTRACT
BACKGROUND:
To overcome the mismatch in nerve sizes in phrenic nerve transfer to the radial nerve for elbow and finger extension reanimation for patients with total brachial plexus injuries (TBPI), a selective neurotization procedure was designed.
OBJECTIVE:
To investigate the long-term results of phrenic nerve transfer to the posterior division of the lower trunk with direct coaptation in restoring elbow and finger extension after TBPI.
METHODS:
Phrenic nerve was transferred to and directly coapted with the posterior division of the lower trunk in 27 patients with TBPI. Seven patients were <18 years old (adolescent group), and the remaining 20 patients ≥18 years (adult group).
RESULTS:
Postoperative mean follow-up period was 54 ± 9 months (range, 48-85 months). The motor function attained M3 or greater in 81.5% of patients for elbow extension and in 48% of patients for finger extension. The percentage of patients who regained M3 or greater muscle power of finger extension in the adolescent group and the adult group was 71.4%, and 40%, respectively. Meanwhile, 85.7% in the adolescent group and 80% in the adult group achieved M3 or greater muscle power of elbow extension. There were no significant differences between the 2 groups. The elbow extension and finger extension were synchronous contractions and did not become independent of respiratory effort.
CONCLUSION:
This procedure simultaneously and effectively restores the function of elbow and finger extension in patients after TBPI. However, the patients could not do elbow and finger extension separately.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Brachial plexus</subject><subject>Brachial Plexus - injuries</subject><subject>Brachial Plexus - surgery</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Elbow</subject><subject>Elbow - surgery</subject><subject>Female</subject><subject>Fingers - surgery</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Joint and ligament injuries</subject><subject>Male</subject><subject>Nerve Transfer - methods</subject><subject>Neurosurgery</subject><subject>Phrenic Nerve - surgery</subject><subject>Phrenic Nerve - transplantation</subject><subject>Recovery of Function - physiology</subject><subject>Young Adult</subject><issn>0148-396X</issn><issn>1524-4040</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkc9uEzEQxi0EoqXwBghZ4sIlre31rr1HSBOoFJUIpYLbyuvMsk43dvCfprwXD4jTLajqBXwZa_T75pvRh9BrSk4pY-LscnZ1Sh48Soh8go5pyfiEE06eomNCuZwUdfXtCL0IYZOZigv5HB2xquCSkPoY_To3HnTEU6d2UUXjLHYdjj3gZe_BGo0vwd8A_mpiP7ZdiOCN8_jc3JjwQLBwe_B45ZO9xtHhLxCi84Dnxn7PfWXXeDa0bo9ntxHsnXCerL6zNBYvsznYGEanlYtqwB-80r3Jn-UAtyngC7tJ3kB4iZ51agjw6r6eoKv5bDX9NFl8_ngxfb-YaM4OlwvKCi05KNLRfHrVFrIuK1GV0JW0kOuWirYFBpqoktYSuOhqovWa6Yq3vCtO0Ltx7s67Hynf02xN0DAMyoJLoaGiIrIqBSsy-vYRunHJ27xdw4pSlKLm_EDxkdLeheCha3bebJX_2VDSHFJtcqrN41Sz7M398NRuYf1X9CfGDMgR2LshpxOuh5SzaHpQQ-z_NftslLq0-79tfgPxm7z6</recordid><startdate>20160201</startdate><enddate>20160201</enddate><creator>Wang, Shu-feng</creator><creator>Li, Peng-cheng</creator><creator>Xue, Yun-hao</creator><creator>Zou, Ji-yao</creator><creator>Li, Wen-jun</creator><creator>Li, Yucheng</creator><general>Oxford University Press</general><general>Copyright by the Congress of Neurological Surgeons</general><general>Wolters Kluwer Health, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20160201</creationdate><title>Direct Coaptation of the Phrenic Nerve With the Posterior Division of the Lower Trunk to Restore Finger and Elbow Extension Function in Patients With Total Brachial Plexus Injuries</title><author>Wang, Shu-feng ; Li, Peng-cheng ; Xue, Yun-hao ; Zou, Ji-yao ; Li, Wen-jun ; Li, Yucheng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4248-37123c84ea0f11646b38956765ef5138db17bbe2ec0a5198e47f90ccd2c64b4f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Brachial plexus</topic><topic>Brachial Plexus - injuries</topic><topic>Brachial Plexus - surgery</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Elbow</topic><topic>Elbow - surgery</topic><topic>Female</topic><topic>Fingers - surgery</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Joint and ligament injuries</topic><topic>Male</topic><topic>Nerve Transfer - methods</topic><topic>Neurosurgery</topic><topic>Phrenic Nerve - surgery</topic><topic>Phrenic Nerve - transplantation</topic><topic>Recovery of Function - physiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Shu-feng</creatorcontrib><creatorcontrib>Li, Peng-cheng</creatorcontrib><creatorcontrib>Xue, Yun-hao</creatorcontrib><creatorcontrib>Zou, Ji-yao</creatorcontrib><creatorcontrib>Li, Wen-jun</creatorcontrib><creatorcontrib>Li, Yucheng</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest - Health & Medical Complete保健、医学与药学数据库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Shu-feng</au><au>Li, Peng-cheng</au><au>Xue, Yun-hao</au><au>Zou, Ji-yao</au><au>Li, Wen-jun</au><au>Li, Yucheng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Direct Coaptation of the Phrenic Nerve With the Posterior Division of the Lower Trunk to Restore Finger and Elbow Extension Function in Patients With Total Brachial Plexus Injuries</atitle><jtitle>Neurosurgery</jtitle><addtitle>Neurosurgery</addtitle><date>2016-02-01</date><risdate>2016</risdate><volume>78</volume><issue>2</issue><spage>208</spage><epage>215</epage><pages>208-215</pages><issn>0148-396X</issn><eissn>1524-4040</eissn><abstract>ABSTRACT
BACKGROUND:
To overcome the mismatch in nerve sizes in phrenic nerve transfer to the radial nerve for elbow and finger extension reanimation for patients with total brachial plexus injuries (TBPI), a selective neurotization procedure was designed.
OBJECTIVE:
To investigate the long-term results of phrenic nerve transfer to the posterior division of the lower trunk with direct coaptation in restoring elbow and finger extension after TBPI.
METHODS:
Phrenic nerve was transferred to and directly coapted with the posterior division of the lower trunk in 27 patients with TBPI. Seven patients were <18 years old (adolescent group), and the remaining 20 patients ≥18 years (adult group).
RESULTS:
Postoperative mean follow-up period was 54 ± 9 months (range, 48-85 months). The motor function attained M3 or greater in 81.5% of patients for elbow extension and in 48% of patients for finger extension. The percentage of patients who regained M3 or greater muscle power of finger extension in the adolescent group and the adult group was 71.4%, and 40%, respectively. Meanwhile, 85.7% in the adolescent group and 80% in the adult group achieved M3 or greater muscle power of elbow extension. There were no significant differences between the 2 groups. The elbow extension and finger extension were synchronous contractions and did not become independent of respiratory effort.
CONCLUSION:
This procedure simultaneously and effectively restores the function of elbow and finger extension in patients after TBPI. However, the patients could not do elbow and finger extension separately.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>26348009</pmid><doi>10.1227/NEU.0000000000001008</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0148-396X |
| ispartof | Neurosurgery, 2016-02, Vol.78 (2), p.208-215 |
| issn | 0148-396X 1524-4040 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1760865723 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Adult Brachial plexus Brachial Plexus - injuries Brachial Plexus - surgery Child Child, Preschool Elbow Elbow - surgery Female Fingers - surgery Follow-Up Studies Humans Joint and ligament injuries Male Nerve Transfer - methods Neurosurgery Phrenic Nerve - surgery Phrenic Nerve - transplantation Recovery of Function - physiology Young Adult |
| title | Direct Coaptation of the Phrenic Nerve With the Posterior Division of the Lower Trunk to Restore Finger and Elbow Extension Function in Patients With Total Brachial Plexus Injuries |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T06%3A52%3A36IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Direct%20Coaptation%20of%20the%20Phrenic%20Nerve%20With%20the%20Posterior%20Division%20of%20the%20Lower%20Trunk%20to%20Restore%20Finger%20and%20Elbow%20Extension%20Function%20in%20Patients%20With%20Total%20Brachial%20Plexus%20Injuries&rft.jtitle=Neurosurgery&rft.au=Wang,%20Shu-feng&rft.date=2016-02-01&rft.volume=78&rft.issue=2&rft.spage=208&rft.epage=215&rft.pages=208-215&rft.issn=0148-396X&rft.eissn=1524-4040&rft_id=info:doi/10.1227/NEU.0000000000001008&rft_dat=%3Cproquest_cross%3E2357579443%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2357579443&rft_id=info:pmid/26348009&rft_oup_id=10.1227/NEU.0000000000001008&rfr_iscdi=true |