Surgical Outcome of Peripheral Nerve Injury

Rahul    K.   Nath; Chandra      Somasundaram

Abstract

This article focuses on various surgical treatments and outcomes in patients who had upper and or lower extremity musculoskeletal disorders due to peripheral nerve injuries. Here, we mainly discussed the benefits of the Nath method of surgical management in infants, children (preteen and teen), and adult patients in the following four categories of peripheral nerve damage.

Brachial plexus injury and upper extremity musculoskeletal dysfunctions: Improvements are discussed in detail in obstetric brachial plexus palsy patients, who had the soft tissue surgical procedure, modified Quad, and the novel osseous operative technique, triangle tilt at our clinic.

Upper trunk of brachial plexus and long thoracic nerve damage and winging scapula: There are at least 18 categories of causation/etiology of upper plexus and long thoracic nerve lesions in 575 patients who visited our clinic with winging scapula, limited shoulder movements, and pain. Furthermore, we discussed the results of the excellent recovery of hundreds of these patients, who had decompression and neurolysis of the upper trunk of brachial plexus and long thoracic nerve.

Peroneal nerve lesion and foot drop: Our management of foot drop by nerve transfers to the deep peroneal nerve is discussed.

Sural nerve grafting to cavernous nerve impairment after prostatectomy or genital surgery: We also discussed briefly our experience and results of the sural nerve grafting, which restores the function of cavernous nerves resected during radical prostatectomy.

Conclusion: The lead author (Rahul K. Nath ) has developed and implemented several innovative new surgical approaches as a reconstructive microsurgeon. These surgical techniques have proven clinical and functional improvements in patients with upper and lower extremity musculoskeletal disorders due to peripheral nerve injuries.

Keywords: Brachial plexus injury, Winging scapula, Peroneal nerve damage, Foot drop, Cavernous nerve impairment, Prostatectomy.