Acar Erdinç, Turkmen Faik, Korucu Ismail H, Karaduman Mert, Karalezli Nazim
Acta Orthop Belg. 2018 Mar;84(1):84-93.
The objective of our study was to assess the functional and sensory outcomes of the primary repair of 138 digital nerve injuries in 48 consecutive patients between January 2012 and November 2014, and to determine whether there were any relationships between demographics, clinical characteristics, or functional test results and post-operative sensory recovery outcomes. Mean follow-up was 14 (range, 10 to 20) months. Sensory evaluation was performed using the static two-point discrimination test, and post-operative sensoryrecovery results were classified according to the Seddon Classification: 69 (50%) injuries were S3+, 3 (2%) were S3, 15 (11%) were S2, 18 (13%) were S1, and 33 (24%) were S0. Sensory recovery was associated with time between surgery and testing and with objective functional recovery. More than half of digits sustaining nerve injuries had good intermediate-term recovery of sensation after early primary surgical repair. Surgeon experience and early primary repair may have a favorable impact on results.
我们研究的目的是评估2012年1月至2014年11月期间连续48例患者138处指神经损伤一期修复后的功能和感觉结果，并确定人口统计学、临床特征或功能测试结果与术后感觉恢复结果之间是否存在任何关联。平均随访时间为14个月（范围为10至20个月）。使用静态两点辨别试验进行感觉评估，并根据塞登分类法对术后感觉恢复结果进行分类：69处（50%）损伤为S3+，3处（2%）为S3，15处（11%）为S2，18处（13%）为S1，33处（24%）为S0。感觉恢复与手术和测试之间的时间以及客观功能恢复相关。超过一半的指神经损伤在早期一期手术修复后中期感觉恢复良好。外科医生的经验和早期一期修复可能对结果有有利影响。
