Travmatik ve Non-Travmatik Nedenlerle Oluşan Peroneal Sinir Hasarının Cerrahi Sonuçlarının Değerlendirilmesi
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Tarih
2020
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Ali Cangül
Erişim Hakkı
info:eu-repo/semantics/openAccess
Attribution-NonCommercial-NoDerivs 3.0 United States
Attribution-NonCommercial-NoDerivs 3.0 United States
Özet
Amaç: Peroneal sinir hasarı alt ekstremitenin sık görülen periferik sinir lezyonlarından biridir. Peroneal sinir travma, nörojenik kist, intranöral gangliyon, diz üzerine çökme, ağır kaldırma, cerrahi işlem gibi nedenlerle hasara uğrayabilir. Yaptığımız bu çalışmada, travmatik ve non-travmatik nedenlerle oluşan peroneal sinir hasarının cerrahi sonuçlarının değerlendirilmesi amaçlanmıştır. Yöntem: Diz seviyesinde peroneal sinir hasarı nedeniyle 2014-2018 yılları arasında kliniğimize başvuran ardışık 23 hasta retrosepektif olarak değerlendirildi. Hastaların ameliyat öncesi ve ameliyat sonrası 6. ay kontrol takiplerindeki ayak bileği dorsifleksyon kas gücü dereceleri değerlendirildi. Bulgular: Peroneal sinir hasarlı 23 [6 (%23) kadın, 17 (%77) erkek) hastanın 10’unu travmatik hasta grubuna ve 13 tanesi non travmatik hasta grubunda değerlendirildi. Her iki hasta grubunda da ameliyat öncesi ve ameliyat sonrası ABDF kas gücü iyileşmesi açısından istatiksel olarak cerrahinin etkinliği görülmüştür. Travmatik hasta grubunda ameliyat öncesi ABDF median kas gücü 0/5 (min.0/5-max.3/5) iken ameliyat sonrası 3,5/5 (min.0/5- max.5/5) (p=0.017), non travmatik hasta grubunda ameliyat öncesi ABDF median kas gücü 2/5 (min.0/5-max.3/5) iken ameliyat sonrası 5/5 (min.4/5-max.5/5) (p=0.001). Sonuç: Çalışmamızın sonuçları, peroneal sinir dekompresyonunun geçerli ve etkili bir yöntem olduğunu göstermektedir. Non travmatik hasta grubunda daha iyi sonuçlar elde etmemize rağmen, her iki hasta popülasyonununda da dekompresyon sonrası motor fonksiyonlarında anlamlı derecede düzelme görüldü.
Objective: Peroneal nerve injury is one of the common peripheral nerve lesions of the lower extremity. Peroneal nerve may be damaged due to trauma, neurogenic cyst, intranural ganglion, habitual leg crossing, heavy lifting and surgical procedures. In this study, we aimed to evaluate the surgical results of traumatic and non-traumatic peroneal nerve injury. Method: Twenty-three consecutive patients admitted to our clinic between 2014-2018 for peroneal nerve injury at knee level were evaluated retrospectively. Ankle dorsiflexion muscle strength levels of the patients were evaluated preoperatively and 6 months after the surgery. Results: Of the 23 patients [6 (23%) female and 17 (77%) male] with peroneal nerve injury, 10 were evaluated in the traumatic group and 13 in the non-traumatic group. Preoperative and postoperative ABDF muscle strength improvement was statistically significant in both groups. In the traumatic patient group, median preoperative ABDF muscle strength was 0/5 (min.0/5-max.3/5) whereas the median postoperative postoperative 3,5/5 (min.0/5- max.5/5). (p=0.017) The median preoperative ABDF muscle strength was 2/5 (min.0/5- max.3/5) in the non-traumatic patient group, whereas it was 5/5 (min.4/5-max.5/5) (p=0.001) postoperatively. Conclusion: The results of our study show that peroneal nerve decompression is a valid and effective method. Although we achieved better results in the non-traumatic patient group, motor function improved significantly after decompression in both patient populations.
Objective: Peroneal nerve injury is one of the common peripheral nerve lesions of the lower extremity. Peroneal nerve may be damaged due to trauma, neurogenic cyst, intranural ganglion, habitual leg crossing, heavy lifting and surgical procedures. In this study, we aimed to evaluate the surgical results of traumatic and non-traumatic peroneal nerve injury. Method: Twenty-three consecutive patients admitted to our clinic between 2014-2018 for peroneal nerve injury at knee level were evaluated retrospectively. Ankle dorsiflexion muscle strength levels of the patients were evaluated preoperatively and 6 months after the surgery. Results: Of the 23 patients [6 (23%) female and 17 (77%) male] with peroneal nerve injury, 10 were evaluated in the traumatic group and 13 in the non-traumatic group. Preoperative and postoperative ABDF muscle strength improvement was statistically significant in both groups. In the traumatic patient group, median preoperative ABDF muscle strength was 0/5 (min.0/5-max.3/5) whereas the median postoperative postoperative 3,5/5 (min.0/5- max.5/5). (p=0.017) The median preoperative ABDF muscle strength was 2/5 (min.0/5- max.3/5) in the non-traumatic patient group, whereas it was 5/5 (min.4/5-max.5/5) (p=0.001) postoperatively. Conclusion: The results of our study show that peroneal nerve decompression is a valid and effective method. Although we achieved better results in the non-traumatic patient group, motor function improved significantly after decompression in both patient populations.
Açıklama
Anahtar Kelimeler
dekompresyon, sonlanım, peroneal sinir hasarı, decompression, outcome, peroneal nerve injury
Kaynak
İstanbul Kanuni Sultan Süleyman Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
12
Sayı
2
