[Microsurgical nerve repair].

IF 1 4区 医学 Q3 ORTHOPEDICS Operative Orthopadie Und Traumatologie Pub Date : 2024-12-01 Epub Date: 2024-11-18 DOI:10.1007/s00064-024-00867-5
A Ayache, M F Langer, A Cavalcanti Kußmaul, F Unglaub
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引用次数: 0

Abstract

Substantial nerve lesions almost always lead to persistent functional deficits, even with ideal treatment. Nerve lesions commonly occur in young patients, are often part of complex injuries, and are repeatedly diagnosed and treated with delay. Functional outcome crucially depends on early and adequate treatment. The aim of surgical treatment is a precise and tension-free microsurgical restoration of nerve continuity in a vital and healthy tissue environment. Adequate microsurgical treatment with differentiated postoperative treatment can result in an excellent clinical outcome, even after a delayed diagnosis.

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[显微神经外科修复术]
即使接受了理想的治疗,严重的神经损伤也几乎总是会导致持续的功能障碍。神经损伤通常发生在年轻患者身上,往往是复杂损伤的一部分,而且反复诊断和治疗,延误病情。功能的恢复关键取决于早期和适当的治疗。手术治疗的目的是通过精确、无张力的显微外科手术,在重要和健康的组织环境中恢复神经的连续性。充分的显微外科治疗加上术后的区别对待,即使诊断延误,也能获得极佳的临床疗效。
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来源期刊
CiteScore
2.10
自引率
0.00%
发文量
32
审稿时长
>12 weeks
期刊介绍: Orthopedics and Traumatology is directed toward all orthopedic surgeons, trauma-tologists, hand surgeons, specialists in sports injuries, orthopedics and rheumatology as well as gene-al surgeons who require access to reliable information on current operative methods to ensure the quality of patient advice, preoperative planning, and postoperative care. The journal presents established and new operative procedures in uniformly structured and extensively illustrated contributions. All aspects are presented step-by-step from indications, contraindications, patient education, and preparation of the operation right through to postoperative care. The advantages and disadvantages, possible complications, deficiencies and risks of the methods as well as significant results with their evaluation criteria are discussed. To allow the reader to assess the outcome, results are detailed and based on internationally recognized scoring systems. Orthopedics and Traumatology facilitates effective advancement and further education for all those active in both special and conservative fields of orthopedics, traumatology, and general surgery, offers sup-port for therapeutic decision-making, and provides – more than 30 years after its first publication – constantly expanding and up-to-date teaching on operative techniques.
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