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上肢의 末梢神經損傷에 對한 臨床的 考察

Clinical Observation of Peripheral Nerve Injury of the Upper Extremity

대한정형외과학회지 1969년 4권 2호 p.15 ~ 21
김남현, 趙敬鍾,
소속 상세정보
김남현 (  ) - 광주17육군병원 정형외과
趙敬鍾 (  ) - 光州17陸軍病院 整形外科

Abstract


Ninety two injuries of the main nerves in the upper extremity observed in 79 patients, were studied at the Department of the Orthopedic Surgery, 17th Army Hospital from May 1965 to Aug. 1968.
The treatment given consisted of neurolysis in 15, neurorrhapy in 77(primary 43 and secondary 34) and tendon transplantation and transfer in 11 cases.
The results for the median, ulnar and radial nerves after primary and secondary suture were analyzed with respect to the level of injury(high and lower).
The results of the median nerve repair were more successful than those of the ulnar nerve. In these two nerve injuries, the sensory recovery was better than the motor and secondary suture gave better results than primary suture.
Thirteen cases failed to respond to primary or secondary nerve repair, among those tendon transfer or tendon transplantation was tried in eleven cases, from the latter approximately 25 of motor recovery could be seen.

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