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New Emirates Medical Journal

Volume 1, 2 Issues, 2020
ISSN: 0250-6882 (Online)
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Open Access Article

Surgical Outcome of Peripheral Nerve Injury



Rahul K. Nath1, *, Chandra Somasundaram1
1 Texas Nerve and Paralysis Institute 6400, Fannin st. Houston, TX-77030, United States

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.


Article Information


Identifiers and Pagination:

Year: 2020
Volume: 1
Issue: 2
First Page: 26
Last Page: 35
Publisher Id: nemj-1-26
DOI: 10.2174/0250688202002022004

Article History:

Received Date: 04/12/2019
Revision Received Date: 20/1/2020
Acceptance Date: 29/1/2020
Electronic publication date: 15/07/2020
Collection year: 2020

© 2020 Nath and Somasundaram.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


* Address correspondence to this author at the Texas Nerve and Paralysis Institute 6400, Fannin st. Houston, TX-77030, United States; E-mail: drnath@drnathmedical.com





Editor-in-Chief

Abdullah Shehab
Emirates Cardiac Society
Emirates Medical Association
Dubai
(UAE)

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Acceptance rate = 40%

Average review speed: 45 days average

18 days from acceptance to publication