RESULTS OF CLINICAL-ASSESSMENT AFTER PRIMARY DIGITAL NERVE REPAIR

被引：56

作者：

ALGHAZAL, SK ^{[1
]}

MCKIERNAN, M ^{[1
]}

KHAN, K ^{[1
]}

MCCANN, J ^{[1
]}

机构：

[1] UNIV COLL HOSP GALWAY,DEPT PLAST RECONSTRUCT & HAND SURG,GALWAY,IRELAND

来源：

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 1994年 / 19B卷 / 02期

关键词：

D O I：

10.1016/0266-7681(94)90180-5

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We have carried out a retrospective study of 88 consecutive digital nerve repairs in 84 patients who presented to this department between September 1989 and September 1991. 94% of the patients were operated on within 24 hours of the injury, and the nerves were repaired using magnifying loupes (x 4.5) 71 patients were assessed clinically 8 to 32 months post-operatively. 17% of the patients had excellent results, 51.1% good results, 22.8% fair results and 9.1% had poor results. Close correlation between age and recovery of sensation and between smoking and nerve recovery were found. Results were better in nerves that were cut cleanly (64.3% were excellent/good) than in crushed nerves (28.1%). Without the availability of an operating microscope, loupes give a satisfactory result in nerve repair, and this study compares well with reported series.

引用

页码：255 / 257

页数：3

共 8 条

[1]

Altissimi, Mancini, Azzara, Results of primary repair of digital nerves, Journal of Hand Surgery, 16 B, 5, pp. 546-547, (1991)

[2]

Berger, Mailander, Advances in peripheral nerve repair in emergency surgery of the hand, World Journal of Surgery, 15, pp. 493-500, (1991)

[3]

Brown, Factors influencing the success of the surgical repair of peripheral nerves, Surgical clinics of North America, 52, 5, pp. 1137-1155, (1972)

[4]

Goldie, Coates, Birch, The long-term result of digital nerve repair in no-man's land, Journal of Hand Surgery, 17 B, 1, pp. 75-77, (1992)

[5]

Sakellarides, A follow-up study of 172 peripheral nerve injuries in the upper extremity in civilians, Journal of Bone and Joint Surgery, 44 A, 1, pp. 140-148, (1962)

[6]

Wilgis, Nerve Repair and Grafting, Operative Hand Surgery, 2, pp. 915-938, (1982)

[7]

Sullivan, Results of digital neurorhaphy in adults, Journal of Hand Surgery, 10 B, 1, pp. 41-44, (1985)

[8]

Wynn Parry, Salter, Sensory re-education after median nerve lesions, The Hand, 8, 3, pp. 250-257, (1976)

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