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Item Metadata only Effect of shorter nerve graft and selective motor branch of recipient nerve on nerve transfer surgery for elbow flexion in patients with brachial plexus injury(2023-11-01) Pengked K.; Laohaprasitiporn P.; Monteerarat Y.; Limthongthang R.; Vathana T.; Mahidol UniversityOBJECTIVE: The spinal accessory nerve (SAN) is commonly used as a donor nerve for reinnervation of elbow flexors in brachial plexus injury (BPI) reconstruction. However, no study has compared the postoperative outcomes between SAN...-to-musculocutaneous nerve (MCN) transfer and SAN-to-nerve to biceps (NTB) transfer. Thus, this study aimed to compare the postoperative time to recovery of elbow flexors between the two groups. METHODS: A total of 748 patients who underwent surgical treatment for BPIItem Metadata only Risk prediction model for unsuccessful elbow flexion recovery after nerve transfer surgery in patients with brachial plexus injury(2023-07-01) Neti N.; Laohaprasitiporn P.; Monteerarat Y.; Limthongthang R.; Vathana T.; Mahidol Universitytopic of interest to avoid an unsuccessful nerve transfer surgery. This study aimed to find strong predictive factors and develop a prediction model for unsuccessful functional elbow flexion recovery 2 years after a nerve transfer surgery in patients... to identify strong prognostic factors for unsuccessful nerve transfer surgery for elbow flexion. A simplified model was developed by rounding the coefficient to the nearest 0.5 score or an integer. Both original and simplified models were validated usingItem Metadata only A Multicenter Validation of a Novel Prediction Model for Elbow Flexion Recovery after Nerve Transfer Surgery in Brachial Plexus Injuries(2024-09-03) Laohaprasitiporn P.; Kittithamvongs P.; Monteerarat Y.; Suriyarak T.; Siripoonyothai S.; Neti N.; Laohaprasitiporn P.; Mahidol Universityrecovery of elbow flexion after the surgery. The model consisted of six variables, namely body mass index 23 kg/m2or more, smoking, total arm type, donor nerve, ipsilateral upper extremity fracture, and ipsilateral vascular injury. This study aimed... using metrics including c-statistic, Hosmer-Lemeshow goodness-of-fit test, calibration plot, calibration slope, and intercept. Results: Thirty-two percent of patients experienced unsuccessful elbow flexion recovery. Both the original and simplifiedItem Metadata only Comparative evaluation of posterior interosseous nerve strain in lateral approach to radial head fixation: a cadaveric study(2025-01-01) Sangkamard K.; Limthongthang R.; Laohaprasitiporn P.; Vathana T.; Monteerarat Y.; Sangkamard K.; Mahidol Universityplate fixation of radial head fractures using upper limb cadaveric models. Methods: Fourteen fresh-frozen upper extremity specimens were dissected with Kaplan (n = 7) and Kocher (n = 7) approaches, and the PIN was exposed at the anterior elbow with a...° elbow flexion. Both standard and extensile versions were tested under scenarios with and without lateral ulnar collateral ligament (LUCL) insufficiency, employing a custom K-wire jig to standardize traction forces. Results: The standard and extensileItem Metadata only Stiff Wrist Assessment: General Consideration, Etiology of the Wrist Stiffness(2025-01-01) Laohaprasitiporn P.; Bain G.I.; Laohaprasitiporn P.; Mahidol UniversityWrist stiffness poses a significant clinical challenge characterized by restriction of wrist mobility that impacts daily activities. Understanding wrist stiffness is imperative for clinicians to optimize patient outcomes and restore functional wrist mobility. This review explores the etiology, pathogenesis, classification, and approach to treatment of wrist t stiffness.Item Metadata only Free Functional Muscle Transfer in Brachial Plexus Injury Patients With Subclavian Artery Injury Using Arteriovenous Loop Grafts(2025-01-01) Limthongthang R.; Wongtrakul S.; Laohaprasitiporn P.; Monteerarat Y.; Vathana T.; Limthongthang R.; Mahidol University% for the single-stage operation and 33% for the two-stage operation. The two-stage operation led to increased operative time, extended hospital stays, and anastomosis mismatch challenges. Successful cases regained gracilis muscle motor power for elbow flexion
