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 |
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| 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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