Late Results of Surgical Treatment of Peripheral Nerves Gunshot Injuries

Aim: To analyze late results of surgical treatment of the sequela ofperipheral nerve gunshot injuries (PNGI). Method: The analysis of treatment results of 19 injured personswith PNGI. Injuries were received during a local armed conflict inthe east of Ukraine. Results: 20 surgeries were performed. 8 (42.1%) persons underwentupper extremity nerve surgeries, and 11 (57.9%) persons underwentlower extremity nerve surgeries. 4 persons with ulnar nerve lesionsand 3 injured persons with median nerve lesions were operatedon. Another injured person had both median nerve and radialnerves lesions. 4 persons with sciatic nerve lesions and 7 injuredpersons with peroneal nerve lesions underwent surgeries. Shell, that wounded: 5.45 caliber bullet - 6 (31.6%); fragments from thegrenade shells explosion (AGS) - 3 (15.8%); fragments of the minesreleased from a mortar launcher - 10 (52.6%). During surgery, theanatomical nerve rhexis with the end neuromes formation wasdetected in 10 (52.6%) injured persons, 5 (26.3%) injured personshad inner neuromes. Nerve neurolysis was performed in 3 cases;neurolysis with the installation of a temporary stimulator wasperformed in 6 cases. Microneurorrhaphy was performed for 7 persons, and autotransplantation was made for 4 persons. Motorfunction recovery was evaluated using the scale of R.B. Zachary, W.Holmes (1946) (modified at St. Petersburg Research Institute namedafter Polenov). 8 (42.1%) injured persons had 0-2 points, 5 (26.3%) injured persons had 3 points, other 5 (26.3%) injured persons had 4points, 1 injured person (5.3 %) had 5 points