Roganović Z, Savić M, Petković S, Antić B, Minić L, Tadić R, Spaić M
Vojnomedicinska akademija, Klinika za neurohirurgiju, Beograd.
Vojnosanit Pregl. 1996 Nov-Dec;53(6):463-70.
The results of surgical treatment of 397 wounded with 482 neurotmeses (64 median, 97 ulnar, 100 radial, 7 musculocutaneal, 120 peroneal and 94 tibial nerves) were analyzed. The treatment outcome was determined 12-36 months postoperatively by analyzing the sensorimotor recovery, EMNG status and operated person's attitude to the repair outcome. The change of all the four mentioned parameters was graded from 0 to 5 points, and the outcome was qualified as poor, moderate, good or excellent according to the point sum total. The majority of good and excellent results was obtained after radial (85%) and musculocutaneal (100%) nerve repairs and the less after peroneal nerve repair (13.3%). Based on the obtained results, it was concluded that radial and musculocutaneal neurotmeses should always be repaired, disregarding the height of lesion. Repair of high ulnar and peroneal lesions was unsuccessful. High lesions of tibial and median nerves should be repaired because of the possible recovery of protective sensibility in autonomous nerve zone.
