[Reconstructive surgery of the peripheral nerves in the upper extremities with autografts].

Abstract

PURPOSE OF THE STUDY:

The author presents results of 42 surgeries performed by microtechnique in 42 patients within the treatment of 45 nerves in the period of 15 years, i.e. between 1985 and 1999.

MATERIAL:

Forty-five nerves were reconstructed in 42 patients with a lesion of peripheral nerves of upper limbs by means of autografts.

METHOD:

The efficiency of the surgery was analyzed on the basis of the following indicators: the interval between the injury and surgery, the patient's age, length of autograft, nature of injury, level of injury, type of the injured nerve. In the evaluation we used Sedon's classification of motor and sensitive functions of 1975.

RESULTS:

The best results were achieved in young patients up to the age of 20, in timely operations within 3 months, in nerve grafts up to the length of 5 cm. A simple cut wound provides much better conditions for a successful auto-transplantation of a nerve graft as compared to other more complicated injuries (e.g. lacerated wound or contusion).

CONCLUSIONS:

A timely surgical revision combined with neurolysis and, if need be, with a reconstruction surgery is in indicated cases a decisive factor influencing the outcome of the surgery.

• Authors: V Matejcík
• Journal: Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca (Acta Chir Orthop Traumatol Cech) Vol. 69 Issue 2 Pg. 85-7 ( 2002) ISSN: 0001-5415 [Print] Czech Republic
• Vernacular Title: Rekonstrukcné operácie periférnych nervov horných koncatín autotransplantátmi.
• PMID: 12073647 (Publication Type: English Abstract, Journal Article)

Topics

• Adult
• Arm (innervation)
• Female
• Humans
• Male
• Median Nerve (injuries, surgery)
• Radial Nerve (injuries, surgery)
• Sural Nerve (transplantation)
• Ulnar Nerve (injuries, surgery)