KẾT QUẢ ĐIỀU TRỊ TỔN THƯƠNG THẦN KINH QUAY ĐOẠN CÁNH TAY DO CHẤN THƯƠNG BẰNG KỸ THUẬT VI PHẪU

Abstract

Background: Radial nerve injury at the arm is a common type of peripheral nerve injury, particularly due to trauma. If not treated properly, it can significantly impact the patient's daily life and work capacity. This article aims to evaluate the outcomes of microsurgical treatment for traumatic radial nerve injuries at the arm. Subjects and Methods: A cross-sectional descriptive study combining retrospective and prospective data was conducted on patients with traumatic radial nerve injuries at the arm segment, treated from January 2020 to July 2025. Variables such as age, gender, cause, surgical method, and postoperative outcomes were monitored. Functional recovery was assessed using the BMRC scale. Results: Among 60 patients studied, the minimum follow-up period was 6 months post-surgery, with the longest follow-up being 56 months. Most injuries occurred in males (80%) of working age (18–60 years: 80%), with traffic accidents being the most common cause (40%). Interventions performed within 3 months yielded better outcomes. The rate of motor recovery at M3–M5 reached 83.3%, and sensory recovery at S3–S4 reached 85%. Conclusion: Timely and technically precise treatment, particularly the application of microsurgical techniques, has demonstrated significant recovery in both motor and sensory functions in patients with radial nerve injuries