دوره 12، شماره 2 - ( 1402 )                   جلد 12 شماره 2 صفحات 100-90 | برگشت به فهرست نسخه ها


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Pahlavani A, Nejad Mir N H, Rouzbahani A K, Mahmoudvand G, Rezaei P, Pahlevani A et al . Electrodiagnostic Evaluation of Prognostic Factors Influencing the Surgical Outcomes of Upper Extremity Nerve Injuries Caused by Penetrating Trauma: A Cross-sectional Study. WJPS 2023; 12 (2) :90-100
URL: http://wjps.ir/article-1-1072-fa.html
Electrodiagnostic Evaluation of Prognostic Factors Influencing the Surgical Outcomes of Upper Extremity Nerve Injuries Caused by Penetrating Trauma: A Cross-sectional Study. مجله جهانی جراحی پلاستیک. 1402; 12 (2) :90-100

URL: http://wjps.ir/article-1-1072-fa.html


چکیده:   (1250 مشاهده)
Background: Peripheral nerve damage is a major cause of disability, which can lead to serious limitations in daily and occupational activities. Although primary repair can restore the function of the damaged organ remarkably, factors predicting the prognosis of nerve repair are a topic of constant debate. We aimed to investigate the factors affecting the outcomes of primary nerve repair in patients afflicted by upper extremity nerve injuries following penetrating trauma.
Methods: This cross-sectional study was conducted on 51 patients referred to Shohada-ye Ashayer Hospital in Khorramabad, Iran, from 2016 to 2021. Data including the patient’s age, gender, education, type, severity, and mechanism of injury, the damaged nerve, time and of method repair, the surgeon’s specialty, as well as the electrodiagnostic findings, were collected and analyzed using SPSS software version 22.
Results: The mean age of the patients was 30.41 ± 12.63 years, and the majority of them (84.3%) were men. A significant relationship was found between the sensory amplitude with education (P=0.002), the type of damaged nerve (P=0.048), and the severity of injury (P=0.012). The positive sharp wave was significantly associated with the surgeon’s specialty (P=0.034). Besides, the motor amplitude was considerably related to the patient’s age (P=0.040) and the surgeon’s specialty (P=0.035).
Conclusion: Factors determining the outcome of peripheral nerve repair following penetrating trauma to the upper extremity include age, education, the type of damaged nerve, the severity of the injury, and the surgeon’s specialty.
 
     
نوع مطالعه: مقالات اصيل | موضوع مقاله: تخصصي
انتشار الکترونیک: 1402/7/1

فهرست منابع
1. Lopes B, Sousa P, Alvites R, et al. Peripheral nerve injury treatments and advances: One Health perspective. Int J Mol Sci 2022;23(2):918. [DOI:10.3390/ijms23020918]
2. Carter N, Towne J, Neivandt DJ. Finite element analysis of glucose diffusivity in cellulose nanofibril peripheral nerve conduits. Cellulose 2021;28(5):2791-803. [DOI:10.1007/s10570-021-03724-x]
3. Bianchi S, Mauler F. Ultrasound Appearance of In Vitro Nerve Allografts and Conduits for Peripheral Nerve Reconstruction. J Ultrasound Med 2022;41(3):763-71. [DOI:10.1002/jum.15757]
4. Huckhagel T, Nüchtern J, Regelsberger J, Lefering R. Nerve injury in severe trauma with upper extremity involvement: evaluation of 49,382 patients from the TraumaRegister DGU® between 2002 and 2015. Scand J Trauma Resusc Emerg Med 2018;26(1):1-8. [DOI:10.1186/s13049-018-0546-6]
5. Fuller JB, Dunn JC, Kusnezov NA, Nesti LJ, Kilcoyne KG. Outcome measures after medial ulnar collateral ligament reconstructions in a military population. J Shoulder Elbow Surg 2019;28(2):317-23. [DOI:10.1016/j.jse.2018.07.025]
6. Riccio M, Marchesini A, Pugliese P, De Francesco F. Nerve repair and regeneration: Biological tubulization limits and future perspectives. J Cell Physiol 2019;234(4):3362-75. [DOI:10.1002/jcp.27299]
7. Mayer JA, Hruby LA, Salminger S, Bodner G, Aszmann OC. Reconstruction of the spinal accessory nerve with selective fascicular nerve transfer of the upper trunk. J Neurosurg Spine 2019;31(1):133-8. [DOI:10.3171/2018.12.SPINE18498]
8. Hundepool CA, Ultee J, Nijhuis TH, et al. Prognostic factors for outcome after median, ulnar, and combined median-ulnar nerve injuries: A prospective study. J Plast Reconstr Aesthet Surg 2015;68(1):1-8. [DOI:10.1016/j.bjps.2014.09.043]
9. Fleurette J, Gaume M, De Tienda M, Dana C, Pannier S. Peripheral nerve injuries of the upper extremity in a pediatric population: Outcomes and prognostic factors. Hand Surg Rehabil 2022. [DOI:10.1016/j.hansur.2022.04.003]
10. Novak CB, Anastakis DJ, Beaton DE, Katz J. Patient-reported outcome after peripheral nerve injury. J Hand Surg Am 2009;34(2):281-7. [DOI:10.1016/j.jhsa.2008.11.017]
11. Pripotnev S, Bucelli RC, Patterson JMM, Yee A, Pet MA, Mackinnon S. Interpreting Electrodiagnostic Studies for the Management of Nerve Injury. J Hand Surg Am 2022 2022/09/01/;47(9):881-9. [DOI:10.1016/j.jhsa.2022.04.008]
12. Samadi Rad B, Babai Ghazani A, Eftekhar Sadat B, et al. Study of frequency of peripheral nerve injuries in traumatic patients referred to Eeast Azarbaijan legal medicine center in 2011. Iranian Journal of Forensic Medicine 2016;21(4):283-90.
13. Kouyoumdjian JA, Graça CR, Ferreira VF. Peripheral nerve injuries: A retrospective survey of 1124 cases. Neurol India 2017;65(3):551. [DOI:10.4103/neuroindia.NI_987_16]
14. Yavari M, Shahraki SS, Mousavizadeh SM, Rouzbahani AK, Mahmoudvand G, Sedghi Asl H. Satisfaction and Functional Outcome of Surgical Treatment in Patients with Brachial Plexus Injury: A Decade of Retrospective Comparative Study. World J Plast Surg 2022;11(3):28-37. [DOI:10.52547/wjps.11.3.28]
15. Akhavan-Sigari R, Mielke D, Farhadi A, Rohde V. Study of radial nerve injury caused by gunshot wounds and explosive injuries among Iraqi soldiers. Open Access Maced J Med Sci 2018;6(9):1622. [DOI:10.3889/oamjms.2018.346]
16. Rostami HR, Akbarfahimi M, Hassani Mehraban A, Akbarinia AR, Samani S. Occupation-based intervention versus rote exercise in modified constraint-induced movement therapy for patients with median and ulnar nerve injuries: A randomized controlled trial. Clin Rehabil 2017;31(8):1087-97. [DOI:10.1177/0269215516672276]
17. Ciaramitaro P, Mondelli M, Logullo F, et al. Traumatic peripheral nerve injuries: epidemiological findings, neuropathic pain and quality of life in 158 patients. J Peripher Nerv Syst 2010;15(2):120-7. [DOI:10.1111/j.1529-8027.2010.00260.x]
18. Zangiabadi N, Ahrari M. Electro-diagnostic and clinical changes of peripheral neuropathies in bam earthquake victims. Am J Environ Sci 2005;1(3):206-8. [DOI:10.3844/ajessp.2005.206.208]
19. Nouraei MH, Hosseini A, Salek S, Nouraei F, Bina R. Median and ulnar nerve injuries; what causes different repair outcomes? Adv Biomed Res 2015;4:215. [DOI:10.4103/2277-9175.156666]
20. Noble M, Tseng K-C, Li H, Elfar JC. 4-Aminopyridine as a single agent diagnostic and treatment for severe nerve crush injury. Mil Med 2019;184(Supplement_1):379-85. [DOI:10.1093/milmed/usy399]
21. Vijayavenkataraman S. Nerve guide conduits for peripheral nerve injury repair: A review on design, materials and fabrication methods. Acta biomaterialia 2020;106:54-69. [DOI:10.1016/j.actbio.2020.02.003]
22. Roganovic Z, Pavlicevic G. Difference in recovery potential of peripheral nerves after graft repairs. Neurosurgery 2006;59(3):621-33. [DOI:10.1227/01.NEU.0000228869.48866.BD]
23. Vordemvenne T, Langer M, Ochman S, Raschke M, Schult M. Long-term results after primary microsurgical repair of ulnar and median nerve injuries: a comparison of common score systems. Clin Neurol Neurosurg 2007;109(3):263-71. [DOI:10.1016/j.clineuro.2006.11.006]
24. Pfister BJ, Gordon T, Loverde JR, Kochar AS, Mackinnon SE, Cullen DK. Biomedical engineering strategies for peripheral nerve repair: surgical applications, state of the art, and future challenges. Crit Rev Biomed Eng 2011;39(2). [DOI:10.1615/CritRevBiomedEng.v39.i2.20]
25. Brooks DN, Weber RV, Chao JD, et al. Processed nerve allografts for peripheral nerve reconstruction: a multicenter study of utilization and outcomes in sensory, mixed, and motor nerve reconstructions. Microsurgery 2012;32(1):1-14. [DOI:10.1002/micr.20975]

ارسال نظر درباره این مقاله : نام کاربری یا پست الکترونیک شما:
CAPTCHA

بازنشر اطلاعات
Creative Commons License این مقاله تحت شرایط Creative Commons Attribution-NonCommercial 4.0 International License قابل بازنشر است.

کلیه حقوق این وب سایت متعلق به مجله جهانی جراحی پلاستیک می باشد.

طراحی و برنامه نویسی : یکتاوب افزار شرق

© 2024 CC BY-NC 4.0 | World Journal of Plastic Surgery

Designed & Developed by : Yektaweb