Naslov
Treatment of upper limb nerve war injuries associated with vascular trauma

Autori
Stanec, Sanda ; Tonković, Ivana ; Stanec, Zdenko ; Tonković, Dinko ; Džepina, Ivo

Izvornik
Injury (0020-1383) 28 (1997), 7; 463-468

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, ostalo

Ključne riječi
muscle autograft ; supper extremity ; reconstruction ; management ; repair

Sažetak
During a 4.-year period, in the Department of Plastic Surgery and Vascular Ssurgery at the Clinical Hospital Centre in Zagreb, 151 upper limb nerve injuries caused by war weapons were treated using microsurgical procedures, and 119 patients have been assessed. Among them 44 patients with 58 nerve injuries had associated arterial injuries. It is of great importance that peripheral nerve as well as vessel injuries should be considered in all extremity war wounds. Every effort should be made to perform immediate revascularization of damaged artery, as this is the best guarantee for long-term arterial potency. Reconstruction with autologous vein has been the method of choice for arterial war injuries. Injured peripheral nerves, at the time of vascular repair, were marked and left for secondary reconstruction. Primary repair of such injuries was contrainicated because it was impossible to detrmine the exact proximal and distal extent of injury. Functional results were obtained in only 44.8 percent of cases with concomitant nerve and arterial ear injuries, an outcome that could be explained by insufficient vascularization at the site of nerve repair (using both mechanisms of graft revascularization), as well as proximal levels of injury and extent of nerve damage, which resulted in long nerve defects.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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