Oberlin C, Rantissi M
Hôpital Bichat, Paris, France.
Chir Main. 2011 Jun;30(3):176-82. doi: 10.1016/j.main.2011.04.010. Epub 2011 May 10.
The authors report their 10-year experience in the treatment of war injuries in the Gaza strip. Bullet injuries to nerves can be assessed using Sunderland's classification. Grade 4 and 5 lesions must be repaired in the same way as any traumatic nerve injuries. A detailed series of sciatic nerve repair is presented. In this series, 12 nerve gaps were repaired by direct nerve coaptation using 90° knee flexion for six weeks. The results of this technique at 1 to 4 years follow-up are better than to those of sciatic nerve grafting.
作者报告了他们在加沙地带治疗战争创伤的10年经验。神经枪伤可采用桑德兰分类法进行评估。4级和5级损伤必须以与任何创伤性神经损伤相同的方式进行修复。本文展示了一系列详细的坐骨神经修复案例。在这个案例系列中,通过90°屈膝六周的直接神经吻合术修复了12处神经缺损。该技术在1至4年随访期的结果优于坐骨神经移植术。