Surgical restoration of drop-hand syndrome with tendon transfer in patients injured in the Syrian civil war

Murat Ucak

doi:10.1186/s40779-019-0225-6

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Surgical restoration of drop-hand syndrome with tendon transfer in patients injured in the Syrian civil war

RESEARCH | Updated：2023-06-05

- Surgical restoration of drop-hand syndrome with tendon transfer in patients injured in the Syrian civil war
- Military Medical Research Vol. 7, Issue 2, Pages: 151-156(2020)
- Affiliations：
  
  Plastic and Reconstructive Aesthetic Surgery, Hatay Defne State Hospital, 31000 Antakya, Hatay, Turkey
- Author bio：
  
  dr.muratucak@gmail.com
- Funds：
- DOI：10.1186/s40779-019-0225-6
  CLC：
- Published：2020-06
- Accepted：
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Cite this article as: Ucak et al.: Surgical restoration of drop-hand syndrome with tendon transfer in patients injured in the Syrian civil war. Mil Med Res, 2019, 6: 35
DOI：

Cite this article as: Ucak et al.: Surgical restoration of drop-hand syndrome with tendon transfer in patients injured in the Syrian civil war. Mil Med Res, 2019, 6: 35 DOI： 10.1186/s40779-019-0225-6.

摘要

Abstract

Background:

The radial nerve is one of the most common war-related injury sites due to penetrating cutting tool injuries or gunshot wounds

resulting in drop-hand syndrome. The aim of this study was to evaluate the outcomes of tendon transfer in patients with drop-hand syndrome who had been injured in the Syrian Civil War.

Methods:

This level-II

prospective

comparative study included 13 civilians injured in the Syrian Civil War 2015 and 2017. The palmaris longus tendon was used for transfer to the extensor pollicis longus for thumb extension. The pronator teres was transferred to the extensor carpi radialis brevis for wrist extension. The flexor carpi radialis was transferred to the extensor digiti communis for 2nd

3rd

4th

and 5th finger extension. All outcomes of thumb abduction and extension

wrist extension

wrist flexion

and finger extension were assessed.

Results:

There was a high level of radial nerve injury in all patients included in the study. The time from injury to treatment ranged from 1.5 months to 9 months. The mechanism of injury most commonly observed was a gunshot wound

which was observed in 8 patients (61.5%)

followed by a penetrating cutting tool injury (

=3; 23.1%) and humerus fracture (

=2; 15.4%).

Conclusions:

In radial nerve injuries

successful results can be achieved with tendon transfer. All patients regained thumb abduction of up to approximately 60°. All the patients were able to bend the wrist

grip

and extend the fingers while in wrist flexion

neutral wrist and wrist extension positions. Although the reason for the radial injury varied

the postoperative outcomes were good for all patients

and the rehabilitation period progressed successfully in patients who underwent tendon transfer repair within 90 days of injury.

关键词

Keywords

references

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