Ischemic injuries to the antebrachial muscles: an association between chronic invasive electrical stimulation of the nerves and functional outcome

Authors

  • O. O. Gatsky A. Romodanov Institute of Neurosurgery, NAMS of Ukraine, Kyiv
  • A. I. Tretiakova A. Herbachevskyi Regional Clinical Hospital, Zhytomyr
  • I. V. Kovalenko A. Herbachevskyi Regional Clinical Hospital, Zhytomyr
  • I. B. Tretyak A. Romodanov Institute of Neurosurgery, NAMS of Ukraine, Kyiv

DOI:

https://doi.org/10.11603/2414-4533.2020.2.10777

Keywords:

injury, nerves, Volkmann contracture, reconstructive surgery, microsurgery, electrical stimulation

Abstract

The aim of the work: to improve the effectiveness of the treatment of patients with nerve damage combined with forearm muscle ischemia through the use of reconstructive surgery techniques and long-term nerve stimulation.

Materials and Methods. The analysis of surgical treatment of ten patients with nerve injury, combined with supracondylar fractures of the humerus, complicated by ischemia of the muscles of the forearm. Representatives of the male sex accounted for 80 % of the surveyed, female – 20 %. The average period from the moment of injury to reconstruction was 4.7 months. In all cases, surgical treatment was carried out – neurolysis, autoplasty, nerve suturing, angiolysis, removal of degeneratively altered tissues within the highest density of fascial-bone gaps. In 8 cases, reconstructive neurosurgical intervention was completed by implantation of a system for long-term direct stimulation of the NE-Si 3M nerves (VEL, Ukraine).

Results and Discussion. The proposed method led to a significant improvement in treatment outcomes in 80 % of victims. Considering the complex mechanism of development of changes of the muscular apparatus due to the denervation and ischemic genesis, the elimination of at least the denervation effects, by stimulating the regenerative potential of the damaged peripheral nerve is a rather promising direction.

References

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Published

2020-01-21

How to Cite

Gatsky, O. O., Tretiakova, A. I., Kovalenko, I. V., & Tretyak, I. B. (2020). Ischemic injuries to the antebrachial muscles: an association between chronic invasive electrical stimulation of the nerves and functional outcome. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (2), 112–119. https://doi.org/10.11603/2414-4533.2020.2.10777

Issue

No. 2 (2020)

Section

EXPERIENCE OF WORK

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