Tactics of surgical treatment of traction injury of sciatic nerve combined with fracture of femur
A.A. BOGOV1,2, V.G. IGNATYEV1, M.R. ZHURAVLEV1, I.G. KHANNANOVA1, A.R. GALLYAMOV1, A.A. BOGOV (Jr)1
1Republican Clinical Hospital of the Ministry of Healthcare of the Republic of Tatarstan, 138 Orenburgskiy Trakt, Kazan, Russian Federation, 420064
2Kazan State Medical Academy — Branch of the Russian Medical Academy of Continuing Professional Education of the Ministry of Healthcare of the Russian Federation, 36 Butlerov Str., Kazan, Russian Federation, 420012
Bogov A.A. — D.Sc. (medicine), Professor, Head of the Traumatology Department No. 2, Head of the Plastic Surgery Sector, tel. (843) 231-20-49, e-mail: bogov.a@mail.ru, ORCID ID: 0000-0003-2394-8788
Ignatyev V.G. — Head of the Neurosurgery Department No. 2, tel. (843) 231-20-49, e-mail: vq280567@mail.ru
Zhuravlev M.R. — traumatologist-orthopedist of the Traumatology Department No. 2, tel. (843) 231-20-49, e-mail: sguirl@mail.ru
Khannanova I.G. — PhD (medicine), traumatologist-orthopedist of the Traumatology Department No. 2, tel. (843) 231-20-49, e-mail: ilyusa2017@mail.ru
Gallyamov A.R. — traumatologist-orthopedist of the Traumatology Department No. 2, tel.: (843) 231-20-49, e-mail: almaz.gallyamov@gmail.com
Bogov A.A. — traumatologist-orthopedist of the Traumatology Department No. 2, tel. (843) 231-20-49, e-mail: bogov.jr@gmail.com, ORCID ID: 0000-0003-0589-2434
The article views the issue of treating the traction injuries of sciatic nerve combined with fracture of femur. Indications for certain types of operations are determined, depending on the dynamics of clinical manifestations and electro-neuromyographic data, which determine the type of lesion of the nerve stem. The optimal tactics of treatment is proposed, which provides positive outcome with restorationof the function of the injuried exttremity.
Key words: electro-neuromyography, axonal and demyelinizing types of lesions, neurolysis, nerve suture, autonerve plasty.
(For citation: Bogov A.A., Ignatyev V.G., Zhuravlev M.R., Khannanova I.G., Gallyamov A.R. Bogov A.A. Tactics of surgical treatment of traction injury of sciatic nerve combined with fracture of femur Practical Medicine. 2018)
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