Biomaterial Database

Upper and lower extremities nerve injuries--own experience in surgical treatment. 2009

A Kutubidze

Plastic Surgery Department, Tbilisi Central University Hospital.

Peripheral nerve injuries are a major medical problems resulting in various degrees of disability. Timely surgical intervention is crucial for the patient. The purpose of the study was to analyze the outcomes of surgical treatment of upper and lower extremities nerves injury. 77 patients were studied based on motor and sensory Medical Research Grading Systems and electromyography examination at an average follow up of 2 years. Muscle strength and sensation were assessed in six-point scales as M0-5 and S0-5 respectively. 53 patients had upper limb nerve injuries, one had brachial plexus root avulsion and 23 had lower extremity nerve damage. After surgical treatment significant improvement according to motor and sensory grading systems (> or = M3, S2) was found in 76 cases of various nerve injuries. Better results were obtained when a sural nerve graft was used together with fascial vascularized flap that decreased level of fibrosis and scarring. It was concluded that the efficacy of the treatment is strictly dependent on an early surgical intervention, mechanism and degree of the nerve injury as well as appropriate method of surgical therapy.

UI	MeSH Term	Description	Entries
D007869	Leg Injuries	General or unspecified injuries involving the leg.	Injuries, Leg,Injury, Leg,Leg Injury
D008297	Male		Males
D008475	Median Nerve	A major nerve of the upper extremity. In humans, the fibers of the median nerve originate in the lower cervical and upper thoracic spinal cord (usually C6 to T1), travel via the brachial plexus, and supply sensory and motor innervation to parts of the forearm and hand.	Median Nerves,Nerve, Median,Nerves, Median
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D009104	Multiple Trauma	Multiple physical insults or injuries occurring simultaneously.	Injuries, Multiple,Trauma, Multiple,Wounds, Multiple,Multiple Injuries,Polytrauma,Injury, Multiple,Multiple Injury,Multiple Traumas,Multiple Wound,Multiple Wounds,Polytraumas,Traumas, Multiple,Wound, Multiple
D010543	Peroneal Nerve	The lateral of the two terminal branches of the sciatic nerve. The peroneal (or fibular) nerve provides motor and sensory innervation to parts of the leg and foot.	Fibular Nerve,Fibular Nerves,Nerve, Fibular,Nerve, Peroneal,Nerves, Fibular,Nerves, Peroneal,Peroneal Nerves
D001917	Brachial Plexus	The large network of nerve fibers which distributes the innervation of the upper extremity. The brachial plexus extends from the neck into the axilla. In humans, the nerves of the plexus usually originate from the lower cervical and the first thoracic spinal cord segments (C5-C8 and T1), but variations are not uncommon.	Plexus, Brachial
D002648	Child	A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL.	Children
D002675	Child, Preschool	A child between the ages of 2 and 5.	Children, Preschool,Preschool Child,Preschool Children
D005260	Female		Females