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Servet Aydin Yuceturk

Private Practice, Turkey

Presentation Title:

Is it possible to follow the risk of rupture after end to-end nerve repairs in brachial plexus surgery?

Abstract

Objective: In traumatic and obstetric brachial plexus injuries, removal of the damaged nerve, repair with the nerve grafts and nerve transfers are mostly preferred techniques. Success is directly proportional to surgical technique as it is known that end-to-end repair of the peripheral nerves give better results. The greatest risk in end-to-end repair is the nerve rupture at the brachial plexus repair region and this cannot be detected by conventional radiological techniques.

Methods: Brachial plexus injuries of obstetrical and traumatic patients were operated. If possible and at least one nerve repaired end to end, follow-up of nerve continuity was done by titanium hemopclip insertion to both sides of the nerve repair area. A new technique Nerve Repair Site Marking (NRSM) was developed and end-to-end nerve repair continuity was followed simply by Xray.

Results: This tecnique used for end-to-end nerve coaptions of 38obstetric and 40 traumatic brachial plexus injury. Follow-up done for six weeks..Every week patients sended Xray of the repair site. Only 3 patients had nerve repair site rupture and revision surgery were done immediately.

Conclusion: NRSM technique and follow up with only Xray is a simple reliable, safe andcheap method that can be applied to any end-to-end nerve repair. This technique has no mobidity or side effects. Aim of the study is to summarize or explain the NRSM technique use in the brachial plexus region.

Biography

S.Aydin Yücetürk, Medical Education/Post Graduate Education, Resident, Hacettepe University Orthopaedics and, Traumatology Department, Ankara (1981-1985), Assistant Prof. Hacettepe University Orthopaedics and Traumatology Department,Ankara (1989-1991), Associate Prof. Hacettepe University, Medical Faculty, Orthopaedics and Traumatology Department, Ankara(1991-1995), Prof. Başkent University Medical Faculty, Orthopaedics and Traumatology Department, Ankara 1996-1997, Prof. Acıbadem University Medical Faculty, Orthopaedics, and Traumatology, İstanbul 2011-2017, Private practice 2017-Board member of Turkish Orthopaedic Association Ethic Committee, Board member of Turkish hand Society Ethic Committe