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Surgical restoration of drop-hand syndrome with tendon transfer in patients injured in the Syrian civil war

Military Medical Research 2020年第2期7卷 151-156页

作者： Murat Ucak Plastic and Reconstructive Aesthetic Surgery Hatay Defne State Hospital31000 AntakyaHatayTurkey

Background:The radial nerve is one of the most common war-related injury sites due to penetrating cutting tool injuries or gunshot wounds,resulting in drop-hand *** aim of this study was to evaluate the outcomes of tendon transfer in patients with drop-hand syndrome who had been injured in the Syrian Civil ***:This level-II,prospective,comparative study included 13 civilians injured in the Syrian Civil War 2015 and *** palmaris longus tendon was used for transfer to the extensor pollicis longus for thumb *** pronator teres was transferred to the extensor carpi radialis brevis for wrist *** flexor carpi radialis was transferred to the extensor digiti communis for 2 nd,3 rd,4 th,and 5 th finger *** outcomes of thumb abduction and extension,wrist extension,wrist flexion,and finger extension were ***:There was a high level of radial nerve injury in all patients included in the *** time from injury to treatment ranged from 1.5 months to 9 *** mechanism of injury most commonly observed was a gunshot wound,which was observed in 8 patients(61.5%),followed by a penetrating cutting tool injury(n=3;23.1%)and humerus fracture(n=2;15.4%).Conclusions:In radial nerve injuries,successful results can be achieved with tendon *** patients regained thumb abduction of up to approximately 60°.All the patients were able to bend the wrist,grip,and extend the fingers while in wrist flexion,neutral wrist and wrist extension *** the reason for the radial injury varied,the postoperative outcomes were good for all patients,and the rehabilitation period progressed successfully in patients who underwent tendon transfer repair within 90 days of injury.

关键词： hand Tendon transfer drop-hand syndrome Syrian civil war

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