Repository of Research and Investigative Information

Repository of Research and Investigative Information

Kurdistan University of Medical Sciences

Therapeutic results of sciatic nerve repair in iran-iraq war casualties

(2008) Therapeutic results of sciatic nerve repair in iran-iraq war casualties. Plastic and Reconstructive Surgery.

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BACKGROUND: The sciatic nerve is composed of two independent divisions: tibial and peroneal. The results of the repair of these two nerves are not identical. This retrospective study was carried out with the aim of evaluating the results of different therapeutic procedures for sciatic nerve injuries and conducting a comparative evaluation of peroneal and tibial nerve recovery. METHODS: A total of 648 Iranian casualties of the 1980 to 1988 Iran-Iraq war with sciatic nerve injury were treated with nerve grafting, direct end-to-end coaptation, and neurolysis. Patients were subdivided according to nerve injury site into three groups of upper, middle, and lower thirds of the thigh, and followed from 5 to 12 years. RESULTS: In 77.8 percent of patients, the tibial nerve was injured, and in 88.9 percent, the common peroneal nerve was injured. Protective sensation recovery of the sole was evaluated as good in 69.1 percent of those with upper third injuries, 74.4 percent of those with middle third injuries, and 89.3 percent of those with lower third repairs (p < 0.0001), with an overall success rate of 73.4 percent. The overall motor recovery success rate for the three techniques was 86.3 percent for the tibial nerve and 38.9 percent for the common peroneal nerve. CONCLUSIONS: Results of sciatic nerve injury treatment in this group of war casualties were generally satisfactory. Tibial nerve injury repair in the upper thigh has a higher priority than the peroneal nerve. Motor deficits of the common peroneal nerve can be overcome by tendon transfer or orthopedic devices. ©2008American Society of Plastic Surgeons.

Item Type: Article
Keywords: adolescent; adult; article; battle injury; female; human; Iran; Iraq; major clinical study; male; motor dysfunction; nerve graft; nerve injury; nerve reconstruction; neurolysis; peroneus nerve; priority journal; retrospective study; school child; sciatic nerve; surgical technique; tibial nerve; war; child; convalescence; follow up; injury; middle aged; nervous system injury; neurosurgery; peroneus nerve; sciatic nerve; tibial nerve; treatment outcome, Adolescent; Adult; Child; Female; Follow-Up Studies; Humans; Iran; Iraq; Male; Middle Aged; Neurosurgical Procedures; Peroneal Nerve; Recovery of Function; Retrospective Studies; Sciatic Nerve; Tibial Nerve; Trauma, Nervous System; Treatment Outcome; War
Page Range: pp. 878-886
Journal or Publication Title: Plastic and Reconstructive Surgery
Volume: 121
Number: 3
Identification Number: 10.1097/01.prs.0000299286.67932.88
ISSN: 00321052
Depositing User: مهندس جمال محمودپور

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