Reconstructive operations for nervous and vascular lesions of the upper extremities were carried out upon 37 cases within 2 to 46 months after trauma. The technic of operations and the results of the treatment are described.

Adult↗

PubMed1977

[Evaluation of the results of the surgical treatment of nerve injuries].

From the experience with 2341 operations for nerve injuries and from the evaluation of the results obtained in 750 cases some recommendations of rational estimation of the nerve suture have been set forth. Reliable conclusions may be drawn on the basis of an objective examination of the conductability of the injured nerve only. The duration of nerve regeneration ranges widely in conformity with the type and severity degree of the injury and depending on the results of the operation. Unsuccessful surgical interventions on the nerves are usually concerned with a severe type of an injury. Repeated operations on the nerves carried out to correct an earlier failure are not infrequently difficult to perform and have poorer results than the primary ones, even when the latters are delayed for several months. The greater number of errors happen when primary nerve suture is performed in a non-specialized medical establishment.

Humans↗

PubMed1976

[Significance of the type of trauma for the outcome of nerve injury].

The experience with 1896 restorative operations on injured nerve trunks shows a necessity to consider the problems of diagnosis, prognosis and choice of the treatment, and especially the results of the nerve suture, not in all patients with nerve injury but only in separate groups being comparable with respect to the kind and severity of the trauma. The probability of spontaneous recovery after cut and prick wounds is very small, if the signs of complete interruption of the conductivity are revealed from the very beginning. As a rule, nerve suture seems to be indicated after establishing the precise diagnosis. Rush and inadequate operations in primary surgical treatment of the wound, in particular, can cause an additional and severe trauma of the nerve, which repairing proves to be difficult and sometimes even impossible. In bone fractures the operation on injured nerves may be indicated after establishing the precise diagnosis during the period of "justified wating", taking into account the injury level and details of the clinical course. In traction lesions of the brachial plexus the correct diagnosis of the level and severity of the trauma must be established without an operation.

Brachial Plexus↗

PubMed1974