The Outcomes of Late Term Surgical Treatment of Penetrating Peripheral Nerve Injuries

GÜZEL, Aslan; ÖZSOY, Kerem Mazhar; ATEŞ, Tuncay; ÖKTEN, ALİ İHSAN; ARSLAN, ALİ; GEZERCAN, YURDAL; UYSAL, İSMAİL; ÇIKILI, Mustafa; OLMAZ, Burak; MENEKŞE, Güner

The Outcomes of Late Term Surgical Treatment of Penetrating Peripheral Nerve Injuries

Yurdal GEZERCAN, (Sağlık Bakanlığı, Adana Numune Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği Adana, Türkiye)

Güner MENEKŞE, (Sağlık Bakanlığı, Ankara Atatürk Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, Ankara, Türkiye)

Ali İhsan ÖKTEN, (Sağlık Bakanlığı, Adana Numune Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği Adana, Türkiye)

Ali ARSLAN, (Sağlık Bakanlığı, Adana Numune Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği Adana, Türkiye)

Kerem Mazhar ÖZSOY, (Çukurova Üniversitesi, Tıp Fakültesi, Nöroşirurji Anabilim Dalı, Adana, Türkiye)

Tuncay ATEŞ, (Sağlık Bakanlığı, Adana Numune Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği Adana, Türkiye)

Mustafa ÇIKILI, (Sağlık Bakanlığı, Adana Numune Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği Adana, Türkiye)

İsmail UYSAL, (Sağlık Bakanlığı, Adana Numune Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği Adana, Türkiye)

Burak OLMAZ, (Sağlık Bakanlığı, Adana Numune Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği Adana, Türkiye)

Aslan GÜZEL (Bahçeşehir Üniversitesi, Tıp Fakültesi, Nöroşirürji, Anabilim Dalı, İstanbul, Türkiye)

Turkish Neurosurgery

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Yıl: 2016 Cilt: 26 Sayı: 1 Sayfa Aralığı: 146 - 152 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

The Outcomes of Late Term Surgical Treatment of Penetrating Peripheral Nerve Injuries

Öz:

AIM: The aim of this retrospective study was to evaluate the follow-up results of patients who received late-term surgical treatment for peripheral nerve lesions caused by penetrating injuries. MATERIAl and METhODS: The study included 25 patients who underwent surgery for peripheral nerve injuries in our clinic between 2007 and 2013. The patients were evaluated with respect to age, gender, etiology of the trauma, the affected nerve, clinical examinations, electrophysiological findings, surgical techniques and functional outcomes.RESulTS: The study included 30 nerves of 25 patients (19 male, 6 female; mean age 30.1 years). The mean time between the initial injury and admission to our clinic was 11.5 months (range, 3 to 30 months). Cuts caused by glass were the most common cause of injury (68.5%). The most commonly injured nerves in our patients were the median nerve (43.4%) and ulnar nerve (26.6%). External neurolysis and decompression were performed in eleven patients, epineurotomy and internal neurolysis were performed in eight patients, epineural repair was performed in fourteen patients, fascicular repair was performed in three patients, and interfascicular anastomosis using sural nerve grafting was performed in five patients. Postoperative motor strength and electrophysiological analyses showed significant improvements. Better outcomes were obtained in cases with median nerve injuries rather than other nerve injuries. Additionally, patients undergoing external neurolysis and decompression exhibited better outcomes than those undergoing other surgical approaches. COnCluSIOn: Although surgical treatment is recommended as early as possible for peripheral nerve injuries, late-term surgical treatments may provide positive outcomes

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	GEZERCAN Y, MENEKŞE G, ÖKTEN A, ARSLAN A, ÖZSOY K, ATEŞ T, ÇIKILI M, UYSAL İ, OLMAZ B, GÜZEL A (2016). The Outcomes of Late Term Surgical Treatment of Penetrating Peripheral Nerve Injuries. , 146 - 152.
Chicago	GEZERCAN YURDAL,MENEKŞE Güner,ÖKTEN ALİ İHSAN,ARSLAN ALİ,ÖZSOY Kerem Mazhar,ATEŞ Tuncay,ÇIKILI Mustafa,UYSAL İSMAİL,OLMAZ Burak,GÜZEL Aslan The Outcomes of Late Term Surgical Treatment of Penetrating Peripheral Nerve Injuries. (2016): 146 - 152.
MLA	GEZERCAN YURDAL,MENEKŞE Güner,ÖKTEN ALİ İHSAN,ARSLAN ALİ,ÖZSOY Kerem Mazhar,ATEŞ Tuncay,ÇIKILI Mustafa,UYSAL İSMAİL,OLMAZ Burak,GÜZEL Aslan The Outcomes of Late Term Surgical Treatment of Penetrating Peripheral Nerve Injuries. , 2016, ss.146 - 152.
AMA	GEZERCAN Y,MENEKŞE G,ÖKTEN A,ARSLAN A,ÖZSOY K,ATEŞ T,ÇIKILI M,UYSAL İ,OLMAZ B,GÜZEL A The Outcomes of Late Term Surgical Treatment of Penetrating Peripheral Nerve Injuries. . 2016; 146 - 152.
Vancouver	GEZERCAN Y,MENEKŞE G,ÖKTEN A,ARSLAN A,ÖZSOY K,ATEŞ T,ÇIKILI M,UYSAL İ,OLMAZ B,GÜZEL A The Outcomes of Late Term Surgical Treatment of Penetrating Peripheral Nerve Injuries. . 2016; 146 - 152.
IEEE	GEZERCAN Y,MENEKŞE G,ÖKTEN A,ARSLAN A,ÖZSOY K,ATEŞ T,ÇIKILI M,UYSAL İ,OLMAZ B,GÜZEL A "The Outcomes of Late Term Surgical Treatment of Penetrating Peripheral Nerve Injuries." , ss.146 - 152, 2016.
ISNAD	GEZERCAN, YURDAL vd. "The Outcomes of Late Term Surgical Treatment of Penetrating Peripheral Nerve Injuries". (2016), 146-152.

APA	GEZERCAN Y, MENEKŞE G, ÖKTEN A, ARSLAN A, ÖZSOY K, ATEŞ T, ÇIKILI M, UYSAL İ, OLMAZ B, GÜZEL A (2016). The Outcomes of Late Term Surgical Treatment of Penetrating Peripheral Nerve Injuries. Turkish Neurosurgery, 26(1), 146 - 152.
Chicago	GEZERCAN YURDAL,MENEKŞE Güner,ÖKTEN ALİ İHSAN,ARSLAN ALİ,ÖZSOY Kerem Mazhar,ATEŞ Tuncay,ÇIKILI Mustafa,UYSAL İSMAİL,OLMAZ Burak,GÜZEL Aslan The Outcomes of Late Term Surgical Treatment of Penetrating Peripheral Nerve Injuries. Turkish Neurosurgery 26, no.1 (2016): 146 - 152.
MLA	GEZERCAN YURDAL,MENEKŞE Güner,ÖKTEN ALİ İHSAN,ARSLAN ALİ,ÖZSOY Kerem Mazhar,ATEŞ Tuncay,ÇIKILI Mustafa,UYSAL İSMAİL,OLMAZ Burak,GÜZEL Aslan The Outcomes of Late Term Surgical Treatment of Penetrating Peripheral Nerve Injuries. Turkish Neurosurgery, vol.26, no.1, 2016, ss.146 - 152.
AMA	GEZERCAN Y,MENEKŞE G,ÖKTEN A,ARSLAN A,ÖZSOY K,ATEŞ T,ÇIKILI M,UYSAL İ,OLMAZ B,GÜZEL A The Outcomes of Late Term Surgical Treatment of Penetrating Peripheral Nerve Injuries. Turkish Neurosurgery. 2016; 26(1): 146 - 152.
Vancouver	GEZERCAN Y,MENEKŞE G,ÖKTEN A,ARSLAN A,ÖZSOY K,ATEŞ T,ÇIKILI M,UYSAL İ,OLMAZ B,GÜZEL A The Outcomes of Late Term Surgical Treatment of Penetrating Peripheral Nerve Injuries. Turkish Neurosurgery. 2016; 26(1): 146 - 152.
IEEE	GEZERCAN Y,MENEKŞE G,ÖKTEN A,ARSLAN A,ÖZSOY K,ATEŞ T,ÇIKILI M,UYSAL İ,OLMAZ B,GÜZEL A "The Outcomes of Late Term Surgical Treatment of Penetrating Peripheral Nerve Injuries." Turkish Neurosurgery, 26, ss.146 - 152, 2016.
ISNAD	GEZERCAN, YURDAL vd. "The Outcomes of Late Term Surgical Treatment of Penetrating Peripheral Nerve Injuries". Turkish Neurosurgery 26/1 (2016), 146-152.