Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/19544
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dc.contributor.authorTerzis, J. K.en
dc.contributor.authorVekris, M. D.en
dc.contributor.authorSoucacos, P. N.en
dc.date.accessioned2015-11-24T19:00:30Z-
dc.date.available2015-11-24T19:00:30Z-
dc.identifier.issn0032-1052-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/19544-
dc.rightsDefault Licence-
dc.subjectAdolescenten
dc.subjectAdulten
dc.subjectArm/innervationen
dc.subjectArm Injuries/surgeryen
dc.subjectBrachial Plexus/*injuries/*surgeryen
dc.subjectChilden
dc.subjectChild, Preschoolen
dc.subjectFemaleen
dc.subjectFractures, Bone/complications/surgeryen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectMicrosurgery/methodsen
dc.subjectMiddle Ageden
dc.subjectMuscle, Skeletal/transplantationen
dc.subjectNeurosurgical Procedures/methodsen
dc.subjectParalysis/*surgeryen
dc.subjectReconstructive Surgical Procedures/methodsen
dc.subjectRecovery of Functionen
dc.subjectSurgical Flapsen
dc.subjectTendon Transferen
dc.subjectTreatment Outcomeen
dc.titleOutcomes of brachial plexus reconstruction in 204 patients with devastating paralysisen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/10513901-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate1999-
heal.abstractThus far, devastating injuries of the adult brachial plexus have had a poor prognosis. This article presents the possible outcomes of aggressive microsurgical reconstruction in the largest series of patients in North America to date. It should change the pessimistic outlook that has surrounded these lesions. In this study, the outcomes of surgery were analyzed in relation to the type and level of injury, the age of the patient, and the denervation time; stronger donors for neurotization in relation to the various targets were delineated. The results were analyzed in 204 patients with adequate follow-up from a total of 263 patients who were operated on between 1978 and 1996. The mean age of the patients was 25.9 years, and the injuries were caused by high-velocity motor accidents involving avulsion in 55 percent of the patients. Nerve reconstruction included 577 nerve repairs (140 direct neurotizations and 437 cases of nerve grafting). Microneurolysis was performed in 89 cases. Vascularized nerve grafts were used in 120 repairs. Muscle transfers (29 pedicled and 78 free) were used to enhance function. The results were good or excellent in 75 percent of suprascapular nerve reconstructions, 40 percent of deltoid reconstructions, 48 percent of biceps reconstructions, 30 percent of triceps reconstructions, 35 percent of finger-flexion reconstructions, and 15 percent of finger-extension reconstructions. The majority of the patients had protective sensation and pain relief postoperatively.en
heal.journalNamePlast Reconstr Surgen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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