Outcome of ulnar neurolysis during post-traumatic reconstruction of the elbow.
J Bone Joint Surg Br
; 80(1): 100-5, 1998 Jan.
Article
in En
| MEDLINE
| ID: mdl-9460962
ABSTRACT
We performed ulnar nerve neurolysis and transposition during reconstructive operations on 20 consecutive patients (21 elbows) with neuropathy after the failure of primary treatment of elbow fractures. There were 11 men and nine women with a mean age of 48.3 years. Preoperatively, four elbows were in McGowan stage I, seven in stage II and ten in stage III and the mean Gabel and Amadio ulnar nerve score was 3.2. At a mean follow-up of 32.1 months (24 to 67) we performed comprehensive neurological, functional, electrophysiological and outcome assessments. Patient satisfaction was high with good pain relief and restoration of hand strength and dexterity. The mean Gabel and Amadio score had improved to 6.5, an improvement of 3.3. There were one excellent, 16 good, 2 fair and 2 poor results; both of the last were due to failure of the underlying elbow reconstruction. Even for advanced stage-II and stage-III lesions we achieved good function, return of intrinsic power, and a high rate of patient satisfaction.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Ulnar Nerve
/
Elbow Injuries
Type of study:
Etiology_studies
/
Observational_studies
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
J Bone Joint Surg Br
Year:
1998
Document type:
Article
Affiliation country:
Canadá