Results of Clinical Assessment after Primary Digital Nerve Repair

Author:

AL-GHAZAL S. K.1,KIERNAN M. Mc1,KHAN K.1,CANN J. Mc1

Affiliation:

1. From the Department of Plastic, Reconstructive and Hand Surgery, University College Hospital, Galway, Ireland

Abstract

We have carried out a retrospective study of 88 consecutive digital nerve repairs in 84 patients who presented to this department between September 1989 and September 1991. 94% of the patients were operated on within 24 hours of the injury, and the nerves were repaired using magnifying loupes (× 4.5) 71 patients were assessed clinically 8 to 32 months post-operatively. 17% of the patients had excellent results, 51.1% good results, 22.8% fair results and 9.1% had poor results. Close correlation between age and recovery of sensation and between smoking and nerve recovery were found. Results were better in nerves that were cut cleanly (64.3% were excellent/good) than in crushed nerves (28.1%). Without the availability of an operating microscope, loupes give a satisfactory result in nerve repair, and this study compares well with reported series.

Publisher

SAGE Publications

Subject

Transplantation,Surgery

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