EPI-PERINEURAL SUTURE AT DISTAL REPLANTATION OF UPPER EXTREMITY
The article presents the results of complex surgical treatment of 64 patients with traumatic amputation of limb segments. In patients of the main group replantation of limbs included the use of epi-perineural suture of the nerve. The results were evaluates after 6 months by clinical data, taking into account the topography of the innervated tissues by repaired nerve and limb function.The obtained results in the main group of patients showed a decrease of unsatisfactory results of reinnervation from 42% to 23,5% (p <0,05), partial recovery of motor function disturbances from 77% to 92% (p> 0,05), and restoration of vegetative and trophic function of the limb, accompanied by the development of venous ulcers, from 87% to 100% (p>0,05), which generally improved functional outcome of limb replantation by 18,7% (p <0,05).Thus, the use of epi-perineural suture during replantation can reduce the number of unsatisfactory results of the recovery of peripheral nerve by 18,5% (p <0,05), improves the recovery of motor function by 15% (p> 0,05), reduces the risk of neurotrophic ulcers of replanted limb by 13% (p> 0,05).