KẾT QUẢ PHẪU THUẬT NỐI THẦN KINH TRỤ DO VẾT THƯƠNG CỔ TAY

Abstract

Objective: The aim of this study was todescribe the clinical characteristics and evaluate the treatment results ulnar nerve repair in wrist injuries. Subjects and methods: The case series descriptive study of 24 patients with 24 ulnar nerves. Results: Including 21 males and 3 females, average age of 41.67 years (range:18-82 years). The most frequent mechanisms of injury were accidental glass lacerations 16/24 (66.67%), knife wounds 6/24 (25%), others 2/24 (8.33%).The most frequently injured structure with ulnar nerve was flexor carpi ulnaris 24/24(100%). Combined flexor carpi ulnaris, ulnar nerve, ulnar artery (ulnar triad) injuries occurred in 18/24 (75%), combined ulnar nerve and median nerve injuries occurred in 12/24 (50%). Group fascicular repair was used in all patients. Follow up was performed for at least 6 months, with average of 16 months. Good sensory and motor recovery were reported respectively in 16/24(66.67%) and 14/24 (58.33%). Conclusion: Because ulnar nerve injuries in wrist were mainly caused by sharp objects, the wounds weren’t crushed, but complicated with many injurred structures. Therefore, it was necessary to examine and evaluate carefully to avoid missing injuries. End to end group fascular repair in cases without nerve defect was still the most effective method .