Хирургическое лечение повреждений лучевого нерва и его последствий

Аннотация

Subject of research:. 107 patients with posttraumatic damages of a radial nerve and their consequence Purpose of the work: Improve the treatment results of post-traumatic radial nerve injuries and its impact by improving the diagnosis, surgical treatment and rehabilitation. Methods of the research: clinical and functional, elcctroncuromiografichs, ultrasonographic, dynamometric. The results obtained and their novelty: Proved that the application of the algorithm developed by clinical survey of patients, depending on the level and duration of injury, allow a precise diagnosis. The effect of electroncuromiography and ultrasonography in the differential diagnosis, which allow you to select the necessary tactics surgical treatment for radial nerve injuries and their consequences. Developed and implemented in the clinic improved method for tendon-muscle transposition in patients with radial nerve injury, which prevents the deviation of the wrist in the radial direction and improves active extension wrist and fingers. Practical value: Offered by our surgical methods completely prevent development of complications after radial nerve injury contribute to early restoration of hand and finger function, reduce the duration of treatment, prevents the development of contractures in the joints of forearm, located in the vicinity of the palm. Improvement of diagnosis and treatment can implement this method in general practice for the treatment of radial nerve injury and its complications. The Degree of embed and economic effectivity: the Developed medicaldiagnostic algorithm and a way a tcndo-muscular transposition at treatment of posttraumatic damages of a radial nerve and their consequences is used TMA and in the Republican specialised centre of of joints and a hand surgery Field of application: traumatology, orthopedy, neurosurgery