Late Results of Surgical Treatment of Peripheral Nerves Gunshot Injuries

Kyrpa, I.Yu. and Kyrpa, Yu.I. and Sirko, A.G. (2017) Late Results of Surgical Treatment of Peripheral Nerves Gunshot Injuries. Turkish Neurosurgery, Sup.27. p. 388. ISSN 1019-5149 (Print), 1019-5149 (Linking)

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Abstract

Aim: To analyze late results of surgical treatment of the sequela ofperipheral nerve gunshot injuries (PNGI). Method: The analysis of treatment results of 19 injured personswith PNGI. Injuries were received during a local armed conflict inthe east of Ukraine. Results: 20 surgeries were performed. 8 (42.1%) persons underwentupper extremity nerve surgeries, and 11 (57.9%) persons underwentlower extremity nerve surgeries. 4 persons with ulnar nerve lesionsand 3 injured persons with median nerve lesions were operatedon. Another injured person had both median nerve and radialnerves lesions. 4 persons with sciatic nerve lesions and 7 injuredpersons with peroneal nerve lesions underwent surgeries. Shell, that wounded: 5.45 caliber bullet - 6 (31.6%); fragments from thegrenade shells explosion (AGS) - 3 (15.8%); fragments of the minesreleased from a mortar launcher - 10 (52.6%). During surgery, theanatomical nerve rhexis with the end neuromes formation wasdetected in 10 (52.6%) injured persons, 5 (26.3%) injured personshad inner neuromes. Nerve neurolysis was performed in 3 cases;neurolysis with the installation of a temporary stimulator wasperformed in 6 cases. Microneurorrhaphy was performed for 7 persons, and autotransplantation was made for 4 persons. Motorfunction recovery was evaluated using the scale of R.B. Zachary, W.Holmes (1946) (modified at St. Petersburg Research Institute namedafter Polenov). 8 (42.1%) injured persons had 0-2 points, 5 (26.3%) injured persons had 3 points, other 5 (26.3%) injured persons had 4points, 1 injured person (5.3 %) had 5 points.

Item Type: Article
Additional Information: 16th World Congress of Neurosurgery, 20-25 August, Istanbul, Turkey, 2017. - Abstract book of 16th World Congress of Neurosurgery. - EP-0307 [Spine and Peripheral Nerve » Surgical Technique (Incl. Neuroendoscopy)]. - P. 388
Uncontrolled Keywords: Surgical treatment, Peripheral nerves, Gunshot injuries, Late results
Subjects: Neurosurgery
Divisions: Faculty of Postgraduate Education > Department of Neurology and Neurosurgery FPE
Depositing User: Елена Шрамко
Date Deposited: 10 Jul 2018 08:00
Last Modified: 10 Jul 2018 08:00
URI: http://repo.dma.dp.ua/id/eprint/2952

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