Optimization of tactics of reconstructive interventions for the consequences of radial nerve damage depending on the area of its damage
https://doi.org/10.56618/20712693_2026_18_1_14
EDN: KKPSTB
Abstract
INTRODUCTION. Radial nerve injuries are often accompanied by a primary or secondary separation between the central and peripheral ends, significantly complicating the process of bridging the diastasis using a classic end-to-end suture. Based on numerous publications reviewed, effective techniques for diastasis repair have been identified, but a perfect algorithm has not yet been described. Therefore, resolving the problem of radial nerve diastasis repair is an important task, particularly relevant for extended and multiple defects of the nerve trunk.
AIM. Optimization of the results of reconstructive interventions on the radial nerve depending on the location of its damage.
MATERIALS AND METHODS. An analysis of surgical treatment outcomes was conducted for 37 patients with complete disruption of the anatomical integrity of the radial nerve. Within the study group, patients were ranked according to a number of criteria. Surgical outcomes were assessed based on the topographic and anatomical location of the radial nerve injury and the severity of the diastasis between the ends of the nerve trunk.
RESULTS. It has been established that each of the anatomical and topographic zones of the radial nerve has its own characteristics, which significantly influence the choice of method for overcoming diastasis.
About the Authors
A. Yu. Voevodkina
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre
Russian Federation
Russian Federation
Alina Yu. Voevodkina – Postgraduate Student, Neurosurgeon, Researcher at the Research Laboratory of Neurosurgery of the Spine and Peripheral Nervous System.
12 Mayakovskogo street, St. Petersburg, 191025
A. Yu. Orlov
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre
Russian Federation
Russian Federation
Andrey Yu. Orlov – Dr. of Sci. (Med.), Neurosurgeon, Head at Research Laboratory of Neurosurgery of the Spine and Peripheral Nervous System.
12 Mayakovskogo street, St. Petersburg, 191025
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Review
For citations:
Voevodkina A.Yu., Orlov A.Yu. Optimization of tactics of reconstructive interventions for the consequences of radial nerve damage depending on the area of its damage. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2026;18(1):14-22. (In Russ.) https://doi.org/10.56618/20712693_2026_18_1_14. EDN: KKPSTB
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