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59. Kongress der Deutschen Gesellschaft für Handchirurgie

Deutsche Gesellschaft für Handchirurgie

11. - 13.10.2018, Mannheim

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Complex lesion of the forearm with extensive median and ulnar nerves defects – a case report

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Deutsche Gesellschaft für Handchirurgie. 59. Kongress der Deutschen Gesellschaft für Handchirurgie. Mannheim, 11.-13.10.2018. Düsseldorf: German Medical Science GMS Publishing House; 2018. Doc18dgh098

doi: 10.3205/18dgh098, urn:nbn:de:0183-18dgh0988

Published: October 10, 2018

© 2018 Stefanescu.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objectives: Complex forearm trauma often associates open cominuted fractures with extensive neuro-muscular damage. Even with primary reconstructive treatment the outcomes can be disheartening due to the long recovering period and secondary surgeries.

Method: The author presents the case of a driver with household inflected trauma of the dominant forearm with extensive damage to both median and ulnar nerves and late reconstructive surgery.

Results: The functional outcome was good despite the tardiness of the nerve graft permitting the return in the work field at 6 months following last surgery.

Conclusion: Even for late presentation cases the reconstruction of the forearm nerves should be attempted as this is the paramount condition for functional recovery.