Ayache A, Langer M F, Cavalcanti Kußmaul A, Unglaub F
Abteilung für Handchirurgie, Vulpius Klinik, Vulpiusstr. 29, 74906, Bad Rappenau, Deutschland.
Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Münster, Deutschland.
Oper Orthop Traumatol. 2024 Dec;36(6):343-353. doi: 10.1007/s00064-024-00867-5. Epub 2024 Nov 18.
Substantial nerve lesions almost always lead to persistent functional deficits, even with ideal treatment. Nerve lesions commonly occur in young patients, are often part of complex injuries, and are repeatedly diagnosed and treated with delay. Functional outcome crucially depends on early and adequate treatment. The aim of surgical treatment is a precise and tension-free microsurgical restoration of nerve continuity in a vital and healthy tissue environment. Adequate microsurgical treatment with differentiated postoperative treatment can result in an excellent clinical outcome, even after a delayed diagnosis.
严重的神经损伤几乎总会导致持续的功能缺陷,即使采用理想的治疗方法也是如此。神经损伤常见于年轻患者,通常是复杂损伤的一部分,且常被延误诊断和治疗。功能预后关键取决于早期和充分的治疗。手术治疗的目的是在重要且健康的组织环境中精确且无张力地进行显微外科修复神经连续性。即使在延迟诊断后,采用适当的显微外科治疗并结合差异化的术后治疗也可取得优异的临床效果。