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Published: 2025-08-01
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DOI: https://doi.org/10.52163/yhc.v66iCD12.2938
Issue
Vol. 66 No. CĐ12-NCKH
Section
Articles
How to Cite
Thạch, N. N. (2025). 14. EVALUATION OF THE RESULTS OF TREATMENT OF ULNANOUS NERVE REVERSAL IN THE LOWER THIRD OF THE FOREARM IN EMERGENCY BY MICROSURGICAL ANALYSING METHOD. Vietnam Journal of Community Medicine, 66(CĐ12-NCKH). https://doi.org/10.52163/yhc.v66iCD12.2938

14. EVALUATION OF THE RESULTS OF TREATMENT OF ULNANOUS NERVE REVERSAL IN THE LOWER THIRD OF THE FOREARM IN EMERGENCY BY MICROSURGICAL ANALYSING METHOD

Nguyen Ngoc Thach1
1 Hospital for Traumatology and Orthopaedics at Ho Chi Minh cit

Main Article Content

Abstract

Objective: To evaluate the clinical outcomes of microsurgical repair for ulnar nerve lacerations in the distal third of the forearm during emergency conditions and to identify factors influencing functional recovery.


Methods: A cross-sectional, prospective study of 39 patients aged 18-60 with complete ulnar nerve transection in the distal forearm. All underwent microsurgical neurorrhaphy within 7 days. Outcomes were assessed after ≥ 6 months using the BMRC scale.


Results: 82.1% of patients achieved good to very good functional recovery. Age (p < 0.05) and supervised rehabilitation (p < 0.05) were significantly associated with outcomes. No significant difference was observed between surgeries performed < 24 hours and 24 hours to 7 days after injury.


Conclusion: Emergency microsurgical repair of ulnar nerve injuries in the forearm yields favorable outcomes, particularly when combined with supervised physiotherapy. The findings provide practical guidance for treating peripheral nerve injuries in both specialized and general medical settings.

Article Details

Keywords

Ulnar nerve, microsurgery, neurorrhaphy, forearm, emergency.

References

[1] Emamhadi M.R, Behzadnia H, Mohammadi H.R, Razmkon A. Functional outcome of ulnar nerve repair by end-to-end epineurial suture. J Res Med Sci, 2015, 20 (7): 671-674.
[2] Ozdemir M, Kuru I, Calli I. Long-term results of ulnar nerve repair. Acta Orthop Traumatol Turc, 2004, 38 (4): 244-249.
[3] Kim D.H, Murovic J.A, Tiel R.L, Kline D.G. Management and outcomes in 318 operative ulnar nerve lesions at the elbow and forearm. Neurosurgery, 2003, 52 (4): 1046-1056.
[4] Millesi H. Nerve grafting. Clin Plast Surg, 1972, 59: 427-435.
[5] Sunderland S. A classification of peripheral nerve injuries producing loss of function. Brain, 1951, 74 (4): 491-516.
[6] British Medical Research Council. Aids to the examination of the peripheral nervous system. 4th ed. London: HMSO, 1976.
[7] Nguyễn Viết Ngọc. Điều trị tổn thương thần kinh ngoại biên bằng phương pháp vi phẫu tại Bệnh viện Việt Đức. Tạp chí Y học thực hành, 2005, (3): 14-17.
[8] Trần Văn Dần. Nối thần kinh ngoại biên bằng kỹ thuật vi phẫu. Tạp chí Ngoại khoa Việt Nam, 2002, (1): 31-36.
[9] Lenz-Scharf L et al. Time-dependent results after repair of peripheral nerve injuries. J Neurosurg, 2017, 126 (2): 455-463.