[Indications and methods of treatment of injuries of the peripheral nerves. Comparative clinical results of the management of the median nerve and ulnar nerve using the epineural, perineural fascicular suture and transplantation].
In the last five years we have treated 95 lesions of the peripheral nerves. There were 24 lacerations of median and 25 of ulnar nerve. The results of treatment of median and ulnar nerve with epineural, perineural fascicular suture and transplant have been compared. The authors have tested the localisation of touch, two-point discrimination, recognition of small items, basic positions of the hand, precise action of the hand, and the motor power according to the Seddon's scale. The results were divided in excellent (2PD: 3-5 mm, power 5), very good (2PD: 6-9 mm. power 4), good (2 PD: 10-12 mm. power 4), fair (2PD: over 12 mm. power 3) and poor. The good results are groups excellent, very good and good. There were 44% good results using perineural fascicular suture of median nerve and 50% of ulnar nerve. The other methods have given poor results.
D006801:Humans; D008475:Median Nerve / Q000293:injuries* / Q000601:surgery; D008722:Methods; D013536:Suture Techniques; D014459:Ulnar Nerve / Q000293:injuries* / Q000601:surgery
Indikacije i metode lijecenja ozljeda perifernih zivaca. Komparacija klinickih rezultata obrade n. medianusa i n. ulnarisa epineuralnim, perineuralnim fascikularnim savom i transplantatom.