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AvtorAhčan, Uroš
Zorman, Peter, 1976-
Naslov Minimalno invazivna sprostitev ulnarnega živca v predelu komolca s pomočjo endoskopa (preliminarni rezultati) = Minimally invasive ulnar nerve release in elbow region with endoscopic assistance (preliminary results) / Uroš Ahčan, Peter Zorman
Vrsta/vsebinatype of material prispevek na konferenci
Fizični opisStr. 211-221
Opombe16 ref.
Predmetne oznakeUlnar Nerve Compression Syndrome - Surgery
Treatment Outcome
Zdravljenje, izid
PovzetekBackground. Cubital tunnel syndrome is second only to the median nerve as the most common peripheral compression neuropathy. Controversy still exists in theselection of ideal technique in terms of the morbidity and benefit of surgery versus the severity of disease in treatment of cubital tunnel syndrome. Peri-operative morbidity, post-operative scar discomfort and releaseof all potential sites of ulnar nerve compression at elbow are key factors when choosing the appropriate surgical technique. Methods. In 18 patients (aged 21-72 years) with clinical and electrodiagnostic signs of cubital tunnel syndrome, 20 cm of ulnar nerve was released through 3.5 cm longincision above medial epicondyle and with the use of 4 mm 30 degrees standard face-lift endoscope with custom made introductor. Through the same incision transposition of ulnar nerve over the roof of the cubital tunnel was performed if subluxation of the ulnar nerve occurred during the elbow flexion.In the mean follow up time of 10 months (range 7-12) patients were assessed clinically and electrodiagnostically. Results. All patients improved clinically and electrodiagnostically, they were satisfied with the procedure, returned to full activities within 3 weeks and would undergo the procedure again. No macroscopically visible nerves and vessels were injured during the procedure. The only postoperative complication was one haematoma, that resolved conservatively. There was no scar discomfort (painfulneuroma, impaired sensibility, burning sensation) or elbow extension deficit after surgery, wounds healed within a week. Conclusion. With safe and reliable technique with short incision, minimum soft tissue dissection and early post-operative mobilization we were able to preserve the benefits of the conventional approaches, namely complete release and possibility of transposition, and to avoid problems such as painful scaring and elbow contracture.
Glej publikacijo TI=50 let Oddelka za plastično in rekonstruktivno kirurgijo : zbornik referatov, Maribor, 21. oktobra 2005.- Str. 211-221