RESUMO
Postamputation pain syndrome significantly embarrasses prosthetics. In the article is described the transposition of the nerve trunks of the brachial plexus with terminal neuromas into the formed tunnel under the musculus pectoralis major, applied by the authors at 47 invalids (52 operations) with pain in the arm stump. The results of an operation have been studied in comparison with the results obtained after resection of the terminal neuromas. The data allow to recommend the translocations of the nerve trunks with the terminal neuromas in case of the pain syndrome after an arm amputation as more effective ones.
Assuntos
Cotos de Amputação/inervação , Amputação Cirúrgica/efeitos adversos , Traumatismos do Braço/cirurgia , Braço/inervação , Plexo Braquial/cirurgia , Transferência de Nervo/métodos , Membro Fantasma/cirurgia , Adolescente , Adulto , Criança , Humanos , Pessoa de Meia-Idade , Músculos Peitorais/inervação , Membro Fantasma/etiologiaRESUMO
The investigations on 10 human cadavers, in the experiment--on 130 white rats and 28 dogs, in the clinic--in 40 patients after amputation of an extremity, employing the conventional technique and that with the use of the neurotoms created which was developed, are presented. Dependence of the pain syndrome on different methods for neurectomy and their state in a stump was studied.