The effect of injury level, associated injuries, the type of nerve repair, and age on the prognosis of patients with median and ulnar nerve injuries

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dc.authorscopusid6602559812
dc.authorscopusid6603486472
dc.authorscopusid6604070029
dc.authorscopusid6603868806
dc.contributor.authorErtem K.
dc.contributor.authorDenizhan Y.
dc.contributor.authorYologlu S.
dc.contributor.authorBora A.
dc.date.accessioned2024-08-04T20:00:37Z
dc.date.available2024-08-04T20:00:37Z
dc.date.issued2005
dc.departmentİnönü Üniversitesien_US
dc.description.abstractOBJECTIVES: In this study, we aimed to evaluate the functional results of nerve repair (median and/or ulnar) in patients with forearm clean-cut injuries and investigated the effect of injury level, associated injuries, the type of repair (primary or secondary), and age on the prognosis. METHODS: The study included 42 patients (34 males, 8 females; mean age 31 years; range 9 to 62 years) who were treated for forearm clean-cut injuries. Involvement was in the proximal forearm in four, mid-forearm in 11, and distal forearm in 27 cases. There were 51 nerve injuries affecting the median nerve (n=30) and the ulnar nerve (n=21). Nerve injuries were isolated in 12 patients, associated with tendon injuries in nine patients, and with tendon and artery injuries in 21 patients. The patients were evaluated in four age groups including 0-15, 16-30, 31-45 years, and 46 years or above. Functional evaluations were made using the Seddon classification. The effect of injury level, associated injuries, the type of repair, and age on the prognosis was assessed. The mean follow-up was 39 months (range 11 to 57 months). RESULTS: Although the clinical and functional results of primary and late-primary repairs were less favorable than those of secondary repairs, the difference did not reach a significant level (p>0.05). The injury level, associated injuries, and age did not influence the Seddon scores significantly (p>0.05). In the age group of 0-15 years, the results were very good in all the patients (100%), but good and very good results accounted for only 20% in the age group of 46 years or above. CONCLUSION: In appropriate cases with clean-cut nerve injuries, primary repair must be the first choice. Taking the low regeneration capacity into consideration, priority should be given to reconstructive procedures in patients at older ages.en_US
dc.identifier.endpage327en_US
dc.identifier.issn1017-995X
dc.identifier.issue4en_US
dc.identifier.pmid16269879en_US
dc.identifier.scopus2-s2.0-33644683259en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage322en_US
dc.identifier.urihttps://hdl.handle.net/11616/90861
dc.identifier.volume39en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isotren_US
dc.relation.ispartofActa orthopaedica et traumatologica turcicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectadolescenten_US
dc.subjectadulten_US
dc.subjectarm injuryen_US
dc.subjectarticleen_US
dc.subjectchilden_US
dc.subjectevaluationen_US
dc.subjectfemaleen_US
dc.subjectfollow upen_US
dc.subjecthumanen_US
dc.subjectinjuryen_US
dc.subjectinjury scaleen_US
dc.subjectmaleen_US
dc.subjectmedian nerveen_US
dc.subjectmiddle ageden_US
dc.subjectneurosurgeryen_US
dc.subjectpathologyen_US
dc.subjectprognosisen_US
dc.subjecttendon injuryen_US
dc.subjecttreatment outcomeen_US
dc.subjectulnar nerveen_US
dc.subjectAdolescenten_US
dc.subjectAdulten_US
dc.subjectChilden_US
dc.subjectFemaleen_US
dc.subjectFollow-Up Studiesen_US
dc.subjectForearm Injuriesen_US
dc.subjectHumansen_US
dc.subjectInjury Severity Scoreen_US
dc.subjectMaleen_US
dc.subjectMedian Nerveen_US
dc.subjectMiddle Ageden_US
dc.subjectNeurosurgical Proceduresen_US
dc.subjectPrognosisen_US
dc.subjectTendon Injuriesen_US
dc.subjectTreatment Outcomeen_US
dc.subjectUlnar Nerveen_US
dc.titleThe effect of injury level, associated injuries, the type of nerve repair, and age on the prognosis of patients with median and ulnar nerve injuriesen_US
dc.title.alternativeOnkol median ve ulnar sinir yaralanmalarinda yaralanma seviyesi, ek patolojiler, sinir onarimi türü ve yaşin prognoza etkileri.en_US
dc.typeArticleen_US

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