Pan C-H, Chuang D C-C, Rodríguez-Lorenzo A
Department of Plastic Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taipei-Linkou, Taiwan.
J Hand Surg Eur Vol. 2010 Jun;35(5):385-91. doi: 10.1177/1753193409360283. Epub 2010 Feb 11.
We report a single surgeon series of 244 patients with radial nerve injuries who had nerve repair, neurolysis, or nerve graft over a 17-year period. 44 patients had a Level I or infraclavicular injury, 37 had a Level II injury within the spiral groove of the humerus, 104 had a Level III injury from the lateral arm to antebrachial fossa and 64 had a Level IV injury affecting the posterior interosseous nerve. Nerve grafting was used most frequently in all groups, and was the only method of reconstruction for level II injury. At 21.5 months follow up, Level IV injuries had significantly better outcome of finger and thumb extension, while wrist extension recovered in at least 80% of the patients irrespective of the level of injury. The radial nerve recovered better if repaired or reconstructed within 5 months of injury.
我们报告了一组由单一外科医生治疗的244例桡神经损伤患者，这些患者在17年期间接受了神经修复、神经松解或神经移植手术。44例患者为I级或锁骨下损伤，37例为肱骨螺旋沟内的II级损伤，104例为从臂外侧至前臂窝的III级损伤，64例为影响骨间后神经的IV级损伤。神经移植在所有组中使用最为频繁，并且是II级损伤的唯一重建方法。在21.5个月的随访中，IV级损伤患者的手指和拇指伸展功能恢复情况明显更好，而无论损伤程度如何，至少80%的患者腕部伸展功能得以恢复。如果在损伤后5个月内进行修复或重建，桡神经恢复得更好。
