Nerventransfers bei Kindern mit nicht traumatischer Amyoplasie非创伤性肌萎缩儿童的神经转移。

IF 0.4 4区 医学 Q4 SURGERY
Benedikt Schäfer, Justus P Beier, Jörg Bahm
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引用次数: 0

摘要

背景:产科臂丛神经瘫痪的原发性重建和神经转移治疗方法在过去几十年中已经确立。对于非创伤性疾病导致的弛缓性瘫痪和肢体活动障碍,如横贯性脊髓炎(TM)或先天性多关节炎(AMC),其病因多种多样,迄今为止,治疗的重点一直是康复治疗,而手术干预的使用程度较低,如截骨或肌肉转移。我们的目标是将神经转移作为一种手术选择,以改善非创伤性肌萎缩症患者的活动能力:本研究介绍了对23名患者(年龄在4个月至64个月之间,其中18人患有AMC,5人患有TM)进行神经转移治疗的结果:结果:我们能够证明,早期上肢神经转移能够使 AMC 和 TM 患者的肌肉恢复活力:结论:这项研究表明,通过选择性神经移植治疗儿童非创伤性肌萎缩症是一种成功的方法。神经移植可使患者获得或恢复重要功能,从而能够独立处理日常生活。治疗创伤性神经损伤的手术方法已经确立。这些方法广为人知,而且可以安全实施。我们认为,这对患有颞下颌关节炎或颞下颌关节综合症相关性瘫痪的儿科患者来说是一种重要的治疗选择,主治医生也应了解这一点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Nerve Transfers in Children with Non-traumatic Amyoplasia]

Background: The treatment of obstetric brachial plexus palsy through primary reconstruction and nerve transfers has been established in the past decades. In the case of non-traumatic diseases that lead to flaccid paralysis and the inability to move the extremities, such as transverse myelitis (TM) or arthrogryposis multiplex congenita (AMC), which can have a wide variety of causes, the focus has been on rehabilitative therapy so far, while surgical interventions have been used to a lesser extent, e. g., in the form of osteotomies or muscle transfers. Our aim is to establish nerve transfers as a surgical option to improve mobility in non-traumatic amyoplasia.

Patients: This work presents the needs-adapted treatment of a total of 23 patients (aged 4 months to 64 months, 18 with AMC and 5 with TM) using nerve transfers on the upper extremity.

Results: We were able to show that early nerve transfers in the upper extremity enabled the reanimation of muscles in both AMC and TM.

Conclusion: This work shows that the treatment of non-traumatic amyoplasia in children with selective nerve grafts is a successful method. Nerve transfers allow patients to gain or regain important functions for managing independent everyday life. The surgical methods have been established in the treatment of traumatic nerve injuries. They are well-known and can be carried out safely. We believe that this is an important treatment option for paediatric patients with paralysis associated with TM or AMC, which should also be known to the treating physicians.

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来源期刊
CiteScore
1.00
自引率
16.70%
发文量
85
审稿时长
6-12 weeks
期刊介绍: In Originalarbeiten und Fallberichten finden Sie die neuesten Informationen über: Diagnostik Verfahrenswahl state of the art / neueste Techniken rekonstruktive Verfahren Behandlung infolge von Traumata oder OP Bewertung der Ergebnisse Klinische Forschung Interessante Darstellung der neuesten Erkenntnisse in Originalarbeiten und Fallberichten. Exzellent veranschaulicht durch ein klares Layout und reiche Bebilderung. Überzeugen Sie sich selbst! Organschaften Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie, Deutschen Gesellschaft für Handchirurgie und Österreichischen Gesellschaft für Handchirurgie Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der peripheren Nerven und Gefäße Organ der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen
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