Volume : VII, Issue : IV, April - 2017

Missile injury of peripheral nerves: Fators affecting the prognosis & recovery.

Riyadh Ahmed Abid, Ahmed Radhi Obaid, Sadiq Fadhel Hammoodi, Muhammed Hameed Faeadh

Abstract :

 Missile injuries to the peripheral nerves present a specific problem regarding their clinical and morphological characterictics, indications and timing of surgery, and prognosis. Our clinical retrospective study conducted at the neurosurgical department in Al–Shaek Zaed hospital for neurosurgical speciality between august 2005 and august 2007. We were studying  50 patient presented with missile injury to the peripheral nerves involving the achial plexus, sciatic, peroneal, median, ulnar, and radial nerves. In this study, 26 patient were injured by bullet & 24 patient by shell injury, 34 patient were treated by neurolysis, 9 patient by direct end to end anastomosis and 7 patient treated conservatively. 26 patient(52%) in our study had good to fair functional recovery and 24 patient(48%)had poor surgical outcome after follow up period of 3 – 24 months. The patient age ranged from 9–54 years with male to female ratio of 5:1, most pt. present to us before 1 year of their injuries. The best functional recovery (good and fair prognosis) was for median & radial nerves. The worst prognosis was for patient of achial plexus injury. All the cases who have functional recovery after treatment were of younger age group treated within the first 6 months after injury, while most of the cases of poor result were of older than 40 years and treated after 6 months of the injury.                              

 

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Riyadh Ahmed Abid, Ahmed Radhi Obaid, SADIQ FADHEL HAMMOODI, Muhammed Hameed Faeadh, Missile injury of peripheral nerves: Fators affecting the prognosis & recovery. , INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾4 | April-2017

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