Injury of peripheral nerves: secondary surgeries
Keywords:injury of peripheral nerves, secondary surgery, EMG regeneration monitoring
Introduction. Secondary surgery is the one of less studied chapters of surgery of peripheral nerves.
Materials and methods. This study summarizes the results of secondary surgeries of 135 patients with injuries of upper extremity peripheral nerves. To evaluate the outcomes we utilized neurological examination, EMG and MRI studies.
Results. 156 injuries of peripheral nerves were present in 135 patients. Secondary surgeries which have been performed in late terms after primary surgery have several particular qualities. After secondary surgery we obtained moderate and good restoration of motion in 114 (84.4%) patients, moderate and good restoration of sensitivity in 116 (75.9%) patients.
Conclusions. Clinical and EMG monitoring of regeneration of peripheral nerves allows practitioner to define further tactics of treatment. Secondary surgery at injury of peripheral nerves improves functioning of upper extremity.
1. Flores AJ, Lavernia CJ, Owens PW. Anatomy and physiology of peripheral nerve injury and repair. Am J Orthop (Belle Mead NJ). 2000;29(3):167-73. [PubMed]
2. Lee HJ, DeLisa JA. Manual of nerve conduction study and surface anatomy for needle electromyography. Philadelphia: Lippincott Williams & Wilkins; 2005.
3. Chebotar’ova L L, Tret’yakova I. Zastosuvannya kliniko-elektrofiziolohichnykh metodiv doslidzhennya na etapakh likuvannya travmatychnoho poshkodzhennya lytsevoho nerva. [Use of clinical-electrophysiological methods of investigation in treatment stages of the facial injuries]. Ukrainian Neurosurgical Journal. 2003;3:54—60. Ukrainian.
4. Bersnev V.P. Diagnostika i khirurgicheskoye lecheniye povrezhdeniy nervov konechnostey.[Diagnosis and surgical treatment of nerve damage of extremities]. [Dissertation]. Leningrad (Russia); 1986. Russian.
5. Kardash AM. Vosstanovitelnoye khirurgicheskoye lecheniye bolnykh s travmaticheskimi povrezhdeniyami nervov [Complex renewing surgical treatment of patients with traumatic nerves injury (clinical and experimental research)]. [Dissertation]. Kiev (Ukraine): Romodanov Neurosurgery Institute; 2010. Ukrainian.
6. Suliy N. Differentsirovannoye mikrokhirurgicheskoye lecheniye povrezhdeniya plechevogo spleteniya. [Differential microsurgical treatment of damages of plexus brachialis]. [Dissertation]. Kiev (Ukraine); 1997. Ukrainian.
7. Kasatkina L F, Gilmanova OV. Elektromiograficheskiye metody issledovaniya v diagnostike nervno-myshechnykh zabolevaniy. Igolchataya elektromiografiya. Moscow: Medika; 2010. Russian.
8. Chebotareva LL. Kompleksnaya diagnostika travmaticheskikh povrezhdeniy plechevogo spleteniya i perifericheskikh nervov i kontrol vosstanovleniya ikh funktsii. [Diagnostics complex for the brachial plexus and peripheral nerves injuries and control of their functions recovery]. [Dissertation]. Kiev (Ukraine): Romodanov Neurosurgery Institute; 1998. Ukrainian.
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