A study of 62 cases of sciatic nerve injury

Abstract

Objectives: a study of surgical procedures used in the management of sciatic n injury & acomparism between them including comparism with other universal studies.
Patients and methods: 62 patients collected from the neuro-surgical unit in the specialized surgical hospital from Jan-2004 till October 2007, all patients studied thoroughly regarding age, Gender, type of injury, time of injury & outcome.
Results: 85% of our patients were ♂, 45% were in the age of 21-30 years, most injured by bullet or shells, the delay in surgery was mostly 1-3m, the repair is by direct suture 45%, 29% release of adhesions 16%, excision of neuroma & suturing, 9.6% by nerve graft, the direct suturing carried the best results, & grafting the worse type, comparism done with universal studies.
Conclusion: Direct suturing of neural sheath (Epineurium) caries the best results if done at proper time.