Surgical treatment results for low extremity peripheral nerves injuries in unsatisfied conditions for nerve regeneration
Keywords:
peripheral nerves, lower limbs, injury, surgery, regenerationAbstract
The treatment results in 244 patients, adults mostly, with low extremities peripheral nerves injuries were summarised. There were determined, that many factors influence on regeneration processes, including anatomic peculiarities of leg nerve trunks, heaviness of trunks trauma with damage surrounded tissues, haemodynamic disorders, frequent accompanied by purulent-necrotic, neurodistrophic, primary and secondary compression processes. Prior to reconstructive operations on injuried nerves, removing of these factors and their prophylactics are needed. The proposed number of modifications of reconstructive techniques in neurosurgery of low extremities peripheral nerves takes into account unsatisfied conditions for nerve regeneration. The applied method for summary evaluation of integral level of low extremity functional recovery is based on removed treatment results.
References
Алексеев В.Д. Современные методы комплексного лечения огнестрельных ранений периферических нервов // Тез. докл. 1-го съезда нейрохирургов России. — Екатеринбург, 1995. — С.289–290.
Белоусов А.Е. Пластическая, реконструктивная и эстетическая хирургия. — СПб: Гиппократ, 1998. — С.150–168.
Берснев В.П. Клиника и микрохирургия поврежденных нервов конечностей // Вопр. нейрохирургии. — 1989. — №6. — С.6–8.
Берснев В.П., Кокин Г.С., Шуру А., Никулина В.А. Обоснование техники операции при сочетанных повреждениях лучевого нерва и сосудов при переломах плечевой кости // Актуальные проблемы неврологи и нейрохирургии: Сб. тр. — Ростов-н-Д, 1999. — С.83–84.
Борода Ю.И. Хирургия дефектов нервных стволов конечностей: Автореф. дис. ... д-ра. мед. наук: 14.00.28. — СПб, 2000. — 29 с.
Григорович К.А., Горенько Ф.С., Зайцев Е.И. К технике шва поврежденных периферических нервов // Вопр. нейрохирургии. — 1996. — №4. — С.25–28.
Крупаткин А.Н. Клиническая нейроангиофизиология конечностей. — М.: Науч. мир, 2003. — 328 с.
Ляпіс М.О., Герасимчук П.О. Синдром стопи діабетика. — Тернопіль: Укрмедкнига, 2001. — 276 с.
Флебология: Руководство для врачей / Под ред. акад. В.С. Савельева. — М.: Медицина, 2001. — 660 с.
Кline D.G., Hudson A.R. Nerve injuries: Operative results for major nerve injuries, entrapments and tumors. — Philadelphia: W.B.Saunders Co, 1995. — 611 р.
Millesi H. Lower extremity nerve lesion // Microreconstruction of nerve injuries. — Philadelphia: W.B.Sunders Co, 1987. — Chap. 19.
Downloads
How to Cite
Issue
Section
License
Copyright (c) 2004 V. I. Tsymbaliuk, O. A. Goncharuk
This work is licensed under a Creative Commons Attribution 4.0 International License.
Ukrainian Neurosurgical Journal abides by the CREATIVE COMMONS copyright rights and permissions for open access journals.
Authors, who are published in this Journal, agree to the following conditions:
1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the Journal under the terms of Creative Commons Attribution License, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this Journal.
2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form of which it has been published by the Journal (for example, to upload the work to the online storage of the Journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this Journal is included.
