Surgical management of late post-traumatic and ischemic neuropathies involving the lower extremities: classification and results of therapy

Foot & Ankle
R LusskinA Price

Abstract

Traumatic/ischemic events such as fractures, dislocations, lacerations, compression, vascular injuries, and embolus can result in several degrees of nerve injury with resultant sequelae of paralysis, sensory loss, and irritative phenomena (pain, hyperesthesia, and dysesthesia). Neuroma pain may prevent rehabilitation following amputation or nerve lacerations. Thirty-four patients with the late sequelae of traumatic/ischemic neuropathies underwent 36 neural operations using magnification techniques to define and repair neural lesions. Major bone and joint reconstruction could be performed at the same operation with protection of arterial and venous supply. A recovery score using defined criteria for motor, sensory, and irritative (pain) recovery has been developed to quantify the end results in compression/ischemia, contusion/stretch, laceration, idiopathic/irritative disorder, and painful neuroma. Excellent and good results were found in 39 of the 87 specific deficits analyzed (45%). Thus, there is the possibility of improved results in these late neuropathies with therapy before irrevocable muscle fibrosis occurs and intractable pain develops.

References

Oct 1, 1986·Foot & Ankle·R Lusskin, A Battista
Feb 1, 1981·Neurosurgery·A Battista, H Cravioto

❮ Previous
Next ❯

Citations

Jul 1, 1996·Foot & Ankle International·M D Santi, M J Botte
Nov 1, 1993·Foot & Ankle·J A Nunley, G T Gabel

❮ Previous
Next ❯

Methods Mentioned

BETA
amputation

Related Concepts

Related Feeds

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.

Related Papers

Langenbecks Archiv für Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft für Chirurgie
U Lanz
Ear, Nose, & Throat Journal
Suzanne K Doud GalliArnold Komisar
© 2021 Meta ULC. All rights reserved