Brachial Plexus Injury
Conditions
Keywords
nerve transfer, neurotization, brachial plexus injury, predictive factors, external validation, risk prediction model
Brief summary
The goal of this observational study is to validate a risk prediction model developed for unsuccessful elbow flexion recovery after nerve transfer surgery in patients with brachial plexus injury. The main question it aims to answer is how well a risk prediction model perform in a different dataset, which are patients with brachial plexus injury who underwent surgery in a different time period or a different hospital.
Interventions
PROCEDURENerve transfer surgery for elbow flexion
A functioning but less important nerve (e.g. spinal accessory nerve, phrenic nerve, fascicle of median nerve, or fascicle of ulnar nerve) was transferred to nerves innervating biceps or brachialis muscle to restore elbow flexion.
Sponsors
Lerdsin General Hospital
Siriraj Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
10 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Traumatic brachial plexus injury patients underwent nerve transfer operation for re-innervation of elbow flexion at Siriraj Hospital between 2018 and 2020 and Lerdsin General Hospital between 2008 and 2022 * Patients had follow-up duration at least 24 months after surgery
Exclusion criteria
* Incomplete medical records * Patients underwent free functioning muscle transfer as primary surgery for elbow flexion * Obstetric brachial plexus injury * Radiation-induced brachial plexopathy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with failure of biceps recovery at 24 months | 24 months | Medical research council motor grading system of less than 3 at 24 months after surgery |
Countries
Thailand
Outcome results
None listed