Use of ultrasound and targeted physiotherapy in the management of a nerve suture performed under joint flexion View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-08

AUTHORS

Mariano Socolovsky, Danilo Bataglia, Rafael Barousse, Javier Robla-Costales

ABSTRACT

BACKGROUND: In 1915, when Delorme described three general requirements for successful nerve repair-(1) resecting scar until a healthy bed is secured, (2) excising damaged nerve until healthy stumps are reached, and (3) placing tension-free sutures, either by adequately mobilizing adjacent joints or nerve grafting-his work was heavily criticized. One century later, history has vindicated all but one of these claims. Flexing adjacent joints to avoid nerve grafts remains controversial, though this practice has increased in recent years. METHODS: An 11-year-old male suffered a penetrating domestic accident that resulted in complete foot drop. At surgery, a 6-cm gap was treated with direct nerve sutures, for which the knee was maintained in 60° flexion in a cast. To avoid damage to the nerve sutures, ultrasound and an intense, though cautious physiotherapy program were employed to guide the progression of knee extension. RESULTS: The patient started to show clear signs of peroneal motor function recovery within 3 months of surgical repair, and almost complete recovery by 4 months postoperatively. CONCLUSIONS: Using physiotherapy and ultrasound might validate the classic joint-flexion technique in select patients with lower-limb nerve injuries. More... »

PAGES

1597-1601

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00701-018-3578-9

DOI

http://dx.doi.org/10.1007/s00701-018-3578-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1104566722

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29948301


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