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Journals / Acta Orthopaedica et Traumatologica Turcica / 2012 / Cilt: 46 - Sayı: 4

Kübital tünel sendromunda ulnar sinirin cilt altı anterior transpozisyonu

Subcutaneous anterior transposition of the ulnar nerve in cubital tunnel syndrome

NEVZAT SELİM GÖKAY
A. Erdem BAGATUR
Pages
243–249
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Subcutaneous anterior transposition of the ulnar nerve is an effective and reliable surgical method with a low complication rate for the treatment of cubital tunnel syndrome.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study was to present the mid- to long-term results of subcutaneous anterior transposition of the ulnar nerve in the treatment of cubital tunnel syndrome.
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Key Findings & Data:Methods: The study retrospectively evaluated 33 patients (24 males, 9 females; mean age: 48 years; range: 26 to 59 years) who underwent subcutaneous transposition of the ulnar nerve.
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Conclusion & Impact:Conclusion: Subcutaneous anterior transposition of the ulnar nerve is an effective and reliable surgical method with a low complication rate for the treatment of cubital tunnel syndrome.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this study was to present the mid- to long-term results of subcutaneous anterior transposition of the ulnar nerve in the treatment of cubital tunnel syndrome. Methods: The study retrospectively evaluated 33 patients (24 males, 9 females; mean age: 48 years; range: 26 to 59 years) who underwent subcutaneous transposition of the ulnar nerve. Mean follow-up period was 4 years 9 months (range: 2 years 6 months to 8 years). Modified McGowan&#8217;s classification was used for preoperative scoring and the Wilson & Krout classification for postoperative clinical evaluation. Preoperatively 5 patients (15%) had Grade 1, 7 (21%) had Grade 2A, 9 (27%) had Grade 2B, and 12 (36%) had Grade 3 neuropathy. Results: There were excellent results in 24 patients (73%), good in 7 (21%), fair in 1 (3%), and poor in one (3%). The patient with the poor result had developed neuropathy following a crush injury. There was a negative correlation between the preoperative McGowan grade and the postoperative Wilson & Krout score (p<0.05, r=-0.43). The success rate of the operation was significantly lower in patient groups as the time from symptom onset increased (p<0.05). There were no complications. Conclusion: Subcutaneous anterior transposition of the ulnar nerve is an effective and reliable surgical method with a low complication rate for the treatment of cubital tunnel syndrome.

Özet

Amaç: Bu çalışmanın amacı kübital tünel sendromunun tedavisinde kullanılan ulnar sinirin cilt altı anterior transpozisyonunun orta ve uzun dönem sonuçlarını değerlendirmekti. Çalışma planı: Kübital tünel sendromu tanısıyla ulnar sinire cilt altı anterior transpozisyon yapılan 33 hasta (24 erkek, 9 kadın; ortalama yaş: 48; dağılım: 26-59) geriye dönük olarak değerlendirildi. Ameliyat sonrası izlem süresi ortalama 4 yıl 9 ay (dağılım: 2 yıl 6 ay-8 yıl) idi. Hastaların ameliyat öncesi evrelendirilmesi modifiye McGowan ölçütlerine, ameliyat sonrası klinik değerlendirmesi Wilson & Krout sınıflamasına göre yapıldı. Modifiye McGowan ölçütlerine göre 5 hastada (%15) Evre 1, 7 hastada (%21) Evre 2A, 9 hastada (%27) Evre 2B, 12 hastada (%36) ise Êvre 3 ulnar sinir nöropatisi vardı. Bulgular: Wilson & Krout sınıflamasına göre hastaların 24’ünde (%73) mükemmel, 7’sinde (%21) iyi, 1’inde (%3) orta, birinde (%3) kötü sonuç alındı. Kötü sonuç alınan hasta ezilme yaralanması sonrasında nöropati gelişen hastaydı. Hastaların ameliyat öncesi McGowan evrelemesi ile ameliyat sonrası Wilson & Krout skorları arasında istatistiksel açıdan anlamlı ters bir ilişki olduğu gözlendi (p<0.05, r=-0.43). Semptomların başlangıcından geçen süre uzadıkça tedavinin başarısının anlamlı şekilde ters yönde etkilendiği saptandı (p<0.05). Ameliyat sonrasında hiçbir hastada komplikasyon gözlenmedi. Çıkarımlar: Ulnar sinirin cilt altı anterior transpozisyonu kübital tünel sendromlu hastaların tedavisinde güvenilir, komplikasyon oranı düşük ve etkili bir cerrahi yöntemdir.

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Cite This Article

GÖKAY, N. S., BAGATUR, A. E. (2012). Kübital tünel sendromunda ulnar sinirin cilt altı anterior transpozisyonu. Acta Orthopaedica et Traumatologica Turcica, Cilt: 46 - Sayı: 4, 243–249. https://ajindex.com/articles/353683

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