A nerve injury of the upper and lower limbs, unfortunately, are one of the most frequent and critical types of dysfunctions that provoke pain. Therefore, the nerve injuries change the quality and lifestyle of a person, both in everyday routine and in a professional environment. A significant number of diagnostic, tactical and technical errors in everyday medical clinical practice, unfortunately, lead to complete or partial disability of the patient due to the amount of pain he suffers from.
The nerve injuries account for up to 10% of the total number of injuries. Areas prone to such malfunctions and pain are the hand, forearm, and shoulder.
One has to consider the nerve repair in the following cases:
- A nerve injury or malfunction, and as a result of such, the nerve is not able to return its correct functioning without operational procedures and causes pain;
- loss of normal neurologic function that cannot be eliminated by non-operational treatment.
Treatment of Nerve Injury
The surgery techniques of nerve repair are the following:
- Nerve suture;
Such nerve repair surgery takes place in order to restore the damaged nerve trunk. In cases where it is not possible to match the ends of the damaged nerve, it is possible to carry out otoplasty of the nerve.
Occasionally, the damaging effect does not lead to a break in the nerve trunk, but damage to the surrounding tissues and leads to a complete or partial disruption of conduction. Therefore, it is necessary to perform neuroleptic treatment of the nerve trunk to reduce pain as well. Neurolysis is a surgery during which the nerve trunk is released from the pathological scars compressing it. Such nerve repair is performed using microsurgical instruments and a microscope, or a frontal loupe.
- Nerve transposition ;
With tunnel neuropathies, for example, the ulnar nerve, it is compressed in the elbow in a narrow bony canal. If the decompression is carried out, it will not work – the pain will appear again, so the nerve must be removed to another place where it will not be compressed. The ulnar nerve is moved to the ulnar fossa next to the median nerve.
In some cases, when it is impossible to restore the integrity of a functionally significant nerve with the previously-mentioned surgeries, the specialists resort to another way of treatment. It involves stitching into its peripheral part of the central end of a less functionally important nerve.