Injuries of the wrist and forearm often involve skin, bone, nerve, tendon, or artery in combination. Recently, the role of microsrugery in the field of hand surgery is becoming more clearly defined. In wrist and forearm injuries, we routinely adopted operating microscope for the repair of the nerves and arteries.
In this paper, authors reviewed 22 cases of clinical experience in wrist and forearm injuries treated accordingly to the protocol.
The results are summarized as follows:
1. Satisfactory result in tendon repair was obtained in 50% with Kleinert method.
2. total functional recovery in nerve repair was 50% in median nerve and 25% in ulnar nerve with primary epineural repair and delayed primary interfascicular nerve grafting. Of the 15 nerve repairs, 13 had functional sensosy recovery.
3. Application of microsurgery using operating mecroscipe is mandatory in repair of wrist and forearm injuries.
4. More functional recovery is expected along with time pass.
Furthermore, understanding of the reeducation of sensation following the nerve repair and splinting the nerve injured patient will be necessary in wrist and forearm injuries.
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