Microsurgical treatment of peripheral nerve injuries

Abstract

536 patients with injuries of the peripheral nerves were treated. The treatment was performed according to the principles of microsurgery. Preoperative and postoperative supervision included EMG, electro-neurography and nerve conduction speed. Subdivision: N. facialis 6, plexus brachialis 78, n. radialis 58, n. medianus 189, n. ulnaris 212, n. ischiadicus 17, n. femoralis 3, n. tibialis 12, n. fibularis 37. On the plexus brachialis 50 funiculolyses and 28 raphies were carried out. Immobilisation was for 10 days. The length of the transplants showed no negative influence. Observation was necessary for three or more years, especially in case of plexus injuries. Complete restoration was only found in children. Sensitivity in 80 per cent was more than Seddon III, 17 per cent III and 3 per cent less than III. Motor function in 60 per cent was IV, 20 per cent III, 12 per cent II and 8 per cent less than II.