Surgical management for sciatic nerve injury.
- Author:
Chunlin HOU
1
;
Shibo WANG
;
Aimin CHEN
;
Wei ZHANG
;
Yong KUANG
;
Yan LIU
;
Chenghui YIN
;
Shimin ZHANG
;
Jinwu WANG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Anastomosis, Surgical; Child; Cohort Studies; Female; Follow-Up Studies; Humans; Injury Severity Score; Male; Middle Aged; Nerve Regeneration; physiology; Neurosurgical Procedures; methods; Recovery of Function; Retrospective Studies; Sciatic Nerve; injuries; Sciatic Neuropathy; etiology; surgery; Treatment Outcome
- From: Chinese Journal of Traumatology 2002;5(6):338-341
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo summarize surgical treatments and their corresponding curative effects on sciatic nerve injuries.
METHODSSurgical treatments on sciatic nerve injury were performed in 28 patients from January 1990 to July 2000. The treatments included neurolysis, neurolysis plus partial nerve anastomosis, nerve anastomosis and nerve transplantation. The curative effect was evaluated according to Sunderland criteria.
RESULTSOf 28 cases, 22 patients were followed up with a follow-up period of 13 months to 5 years (average 30 months). Of 22 nerves, 7 were excellent, 5 good, 7 fair and 3 poor, with an excellence rate of 54.5%.
CONCLUSIONSThe fair results of sciatic nerve injury are related to its structural character. Surgical exploration should be performed if nerve function does not recover 3 months after primary operation and if Tinel's sign and electromyogram show no signs of nerve regeneration. Electrophysiological monitoring in the operation is useful in electing surgical methods and predicting the results of nerve anastomosis.
