Our Experience with Surgical Management of Injuries to Peripheral Nerves of the Upper Extremities

Czech version

Authors: V. Matejčík; G. Pénzesová
Authors‘ workplace: Slovenská republika ; Neurochirurgická klinika LF UKo, Fakultná nemocnica s poliklinikou akad. L. Dérera, Bratislava
Published in: Rozhl. Chir., 2006, roč. 85, č. 2, s. 103-106.
Category: Monothematic special - Original

Overview

Objectives:
The authors present their results of 44 microsurgical procedures of 47 nerves in 44 patients subjects over a period of 19 years, from 1985 to 2003.

Study group subjects and Methods:
44 patients with injuries to peripheral nerves of the upper extremities underwent reconstructions of 47 nerves using autotransplants. The procedures effectivity results were analysed using the following indicators: the injury to the procedure time, the patient’s age, the autotransplant length, the injury type, the injury site, the injured nerve type.

Results:
The best results were reached: in young patients up to the age of 20, in cases of early operations up to 3 months, in cases when grafts up to 5 cm were used. Clean, for instance incision injury, has much better prospects for successful nerve graft autotransplantation than others, more complicated injuries (e.g. lacerated injury or contusion).

Key words:
traumatic lesion of a peripheral nerve – nerve transplant – reconstructive procedures of the peripheral nerves