الفهرس 
Materials and mithodsOnly 14 pages are availabe for public view
 |  | from | 406 |  |  |
| | | from | 406 | | |
Abstract
Forty two patients with peripheral nerve injuries in the upper extremity were reviewed. There were 35 males, and 7 females. Their ages ranged from 3 to 58, with a peak incidence in the third decade. Most patients, 24/42 (57.1%) presented within the period from 3 weeks to 3 months post—injury. The vascular injury was managed by end to end anastomosis, or using a reversed interpositional vein graft in only 3 cases that presented acutely. Our methods for assessing patency of a vascular
anastomosis using a digital pulsemeter is described, our intraoperative protocol using electrical stimulation in acute (less than one week), and partial lesions is also included. Follow—up was performed on a monthly or bimonthly basis to assess: sensory, psudomotor, and motor recovery (the last in pure motor, and mixed nerves). The results for sensory and motor recovery were scored on a 0= poor, 1= fair, and 2= good scale. Static and moving two point discrimination values were correlated with motor recovery which was assessed according to the number of motor units that have recovered for a specified nerve. where static two point discrimination did not correlate well with motor recovery, moving two point discrimination values were exact. Based on a sensory feedback mechanism, our technique in sensory re—education involved tactile localization and marking the areas of radiation.