[Results of electroneuromyographic study in patients after replantation of the lower extremities on the crus level].
We applied ENMG (electroneuromyography) in dynamics in the longterm postoperative period on 7 replanted segments of the lower limbs in 5 patients (in 2 patients both lower limbs were replanted). Seven nerve trunks were restored in 7 replanted segments. Analysis of the ENMG findings showed that restoration of the nerve trunks in replantation of amputated segments of the lower limbs through the crus restored conduction along the sensory and motor fibers in 56.3% of cases; in 37.5% of cases conduction along the motor fibres was restored partly; conduction was completely absent along the sensory fibers in 45.7% and along the motor fibers in 6-7% of cases. ENMG makes it possible to evaluate the degree of restoration of the motor and sensory functions of the nerves after restoration of their continuity in replantation of large lower-limb segments at the level of the crus. The obtained quantitative data are sufficiently impressive arguments in favor of replantation of large segments of the lower limbs in serious traumatic amputation.
Milanov
N O
NO
Gusami
G M
GM
D004576:Electromyography; D006801:Humans; D007866:Leg / Q000294:innervation / Q000601:surgery*; D009412:Nerve Fibers / Q000502:physiology*; D009431:Neural Conduction / Q000502:physiology*; D009469:Neuromuscular Junction / Q000502:physiology*; D011184:Postoperative Period; D012092:Replantation; D016896:Treatment Outcome
Rezultaty élektroneĭromiograficheskogo issledovaniia u bolńykh posle replantatsii nizhnikh konechnosteĭ na urovne goleni.