Electrodiagnostic Evaluation of Prognostic Factors Influencing the Surgical Outcomes of Upper Extremity Nerve Injuries Caused by Penetrating Trauma: A Cross-sectional Study.

IF 0.9 Q3 SURGERY World Journal of Plastic Surgery Pub Date : 2023-01-01 DOI:10.52547/wjps.12.2.90
Amin Pahlavani, Nahid Hosseini Nejad Mir, Arian Karimi Rouzbahani, Golnaz Mahmoudvand, Pardis Rezaei, Ali Pahlevani, Mohammad Kazem Shahmoradi
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Abstract

Background: Peripheral nerve damage is a major cause of disability, which can lead to serious limitations in daily and occupational activities. Although primary repair can restore the function of the damaged organ remarkably, factors predicting the prognosis of nerve repair are a topic of constant debate. We aimed to investigate the factors affecting the outcomes of primary nerve repair in patients afflicted by upper extremity nerve injuries following penetrating trauma.

Methods: This cross-sectional study was conducted on 51 patients referred to Shohada-ye Ashayer Hospital in Khorramabad, Iran, from 2016 to 2021. Data including the patient's age, gender, education, type, severity, and mechanism of injury, the damaged nerve, time and of method repair, the surgeon's specialty, as well as the electrodiagnostic findings, were collected and analyzed using SPSS software version 22.

Results: The mean age of the patients was 30.41 ± 12.63 years, and the majority of them (84.3%) were men. A significant relationship was found between the sensory amplitude with education (P=0.002), the type of damaged nerve (P=0.048), and the severity of injury (P=0.012). The positive sharp wave was significantly associated with the surgeon's specialty (P=0.034). Besides, the motor amplitude was considerably related to the patient's age (P=0.040) and the surgeon's specialty (P=0.035).

Conclusion: Factors determining the outcome of peripheral nerve repair following penetrating trauma to the upper extremity include age, education, the type of damaged nerve, the severity of the injury, and the surgeon's specialty.

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影响穿透性创伤所致上肢神经损伤手术预后因素的电诊断评估:一项横断面研究。
背景:周围神经损伤是致残的主要原因,可导致日常活动和职业活动严重受限。虽然原发性修复能显著恢复受损器官的功能,但预测神经修复预后的因素一直是一个争论不休的话题。我们旨在研究影响穿透性创伤后上肢神经损伤患者初次神经修复预后的因素:这项横断面研究的对象是 2016 年至 2021 年期间转诊至伊朗霍拉马堡 Shohada-ye Ashayer 医院的 51 名患者。收集的数据包括患者的年龄、性别、教育程度、损伤类型、严重程度和机制、受损神经、修复时间和方法、外科医生的专业以及电诊断结果,并使用 SPSS 软件 22 版进行分析:患者的平均年龄为(30.41±12.63)岁,大部分(84.3%)为男性。感觉振幅与教育程度(P=0.002)、受损神经类型(P=0.048)和损伤严重程度(P=0.012)有明显关系。锐波阳性与外科医生的专业明显相关(P=0.034)。此外,运动振幅与患者的年龄(P=0.040)和外科医生的专业(P=0.035)有很大关系:结论:决定上肢穿透性创伤后周围神经修复效果的因素包括年龄、教育程度、受损神经的类型、损伤的严重程度以及外科医生的专业。
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