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Structured Motor Rehabilitation After Selective Nerve Transfers
Published on: August 15, 2019
Long-term functional results after radial nerve repair
Yusuf Gürbüz1, Murat Kayalar, Emin Bal
1Hand Microsurgery Orthopaedics and Traumatology Hospital, İzmir, Turkey. ygurbuz@gmail.com
Acta Orthopaedica Et Traumatologica Turcica
|January 17, 2012
Summary
End-to-end radial nerve repair shows excellent motor recovery in most patients, with nearly full functional results in younger individuals when using appropriate surgical techniques.
Area of Science:
- Orthopedic Surgery
- Neurosurgery
- Reconstructive Surgery
Background:
- Radial nerve injuries can significantly impair upper extremity function.
- Surgical repair is crucial for restoring motor and sensory deficits.
Purpose of the Study:
- To evaluate the functional outcomes of end-to-end repairs for radial nerve injuries.
- To assess motor and sensory recovery, as well as overall functional status post-repair.
Main Methods:
- 18 patients with middle-level end-to-end radial nerve repair were assessed.
- Functional outcomes were measured using the modified Verga classification for motor function, Highet classification for sensory recovery, and DASH-T score.
- Average follow-up was 62.5 months.
Main Results:
- 16 out of 18 patients achieved excellent motor function (Verga classification).
- Sensory recovery varied, with most patients achieving S3 or higher (Highet classification).
- Patients with excellent motor results had an average DASH-T score of 7.3.
Conclusions:
- End-to-end radial nerve repair, when performed with appropriate techniques, can yield excellent functional results.
- Younger patients appear to benefit most, achieving near-complete recovery.
