Comparison of Surgical Outcomes of Two Opponensplasty Techniques in Traumatic Isolated Low Median Nerve Palsy
Background: Thumb opposition is a critical operation of thumb in human. Median nerve palsy interferes with many ordinary activities such as opposition. Opponensplasty for low median nerve injury is done with different techniques. This study aimed to compare tendon transfer techniques of Riordan and...
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doaj-924281b081e042a680c79649d7f663842020-11-25T00:02:42ZfasVesnu Publications مجله دانشکده پزشکی اصفهان1027-75951735-854X2018-01-01354571714171910.22122/jims.v35i457.89062733Comparison of Surgical Outcomes of Two Opponensplasty Techniques in Traumatic Isolated Low Median Nerve PalsyAbolghasem Zarezadeh0Hossein Akbari-Aghdam1Hadi Ravanbod2Pouya Rajabzadeh3Associate Professor, Department of Orthopedic Surgery, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, IranAssistant Professor, Department of Orthopedic Surgery, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, IranResident, Department of Orthopedic Surgery, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, IranResident, Department of Orthopedic Surgery, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, IranBackground: Thumb opposition is a critical operation of thumb in human. Median nerve palsy interferes with many ordinary activities such as opposition. Opponensplasty for low median nerve injury is done with different techniques. This study aimed to compare tendon transfer techniques of Riordan and Burkhalter. Methods: This was a clinical-trial study on 40 patients underwent opponensplasty referred to Isfahan University of Medical Sciences hospitals, Iran, during 2013-16. Patients with traumatic low median nerve palsy were divided to two groups of Riordan and Burkhalter operation. Demographics, functional status, Kapandji score and, pulp pinching tests were conducted for all patients prior to surgery, and within 3 and 8 months after surgery. Findings: There was significant differences in both groups in terms of functional status, Kapandji score, and pulp pinching test (P < 0.050 for all), but comparison of two groups was not different (P > 0.050 for all). Complications of Riordan technique was significantly more than Burkhalter technique (P = 0.021). Conclusion: None of the Burkhalter or Riordan techniques was superior to the other one in terms of opposition recovery; but postsurgical complications of Burkhalter opponensplasty were fewer.http://jims.mui.ac.ir/index.php/jims/article/view/8906Tendon transferPeripheral nerve injuriesMedian nerveTechniques |
collection |
DOAJ |
language |
fas |
format |
Article |
sources |
DOAJ |
author |
Abolghasem Zarezadeh Hossein Akbari-Aghdam Hadi Ravanbod Pouya Rajabzadeh |
spellingShingle |
Abolghasem Zarezadeh Hossein Akbari-Aghdam Hadi Ravanbod Pouya Rajabzadeh Comparison of Surgical Outcomes of Two Opponensplasty Techniques in Traumatic Isolated Low Median Nerve Palsy مجله دانشکده پزشکی اصفهان Tendon transfer Peripheral nerve injuries Median nerve Techniques |
author_facet |
Abolghasem Zarezadeh Hossein Akbari-Aghdam Hadi Ravanbod Pouya Rajabzadeh |
author_sort |
Abolghasem Zarezadeh |
title |
Comparison of Surgical Outcomes of Two Opponensplasty Techniques in Traumatic Isolated Low Median Nerve Palsy |
title_short |
Comparison of Surgical Outcomes of Two Opponensplasty Techniques in Traumatic Isolated Low Median Nerve Palsy |
title_full |
Comparison of Surgical Outcomes of Two Opponensplasty Techniques in Traumatic Isolated Low Median Nerve Palsy |
title_fullStr |
Comparison of Surgical Outcomes of Two Opponensplasty Techniques in Traumatic Isolated Low Median Nerve Palsy |
title_full_unstemmed |
Comparison of Surgical Outcomes of Two Opponensplasty Techniques in Traumatic Isolated Low Median Nerve Palsy |
title_sort |
comparison of surgical outcomes of two opponensplasty techniques in traumatic isolated low median nerve palsy |
publisher |
Vesnu Publications |
series |
مجله دانشکده پزشکی اصفهان |
issn |
1027-7595 1735-854X |
publishDate |
2018-01-01 |
description |
Background: Thumb opposition is a critical operation of thumb in human. Median nerve palsy interferes with many ordinary activities such as opposition. Opponensplasty for low median nerve injury is done with different techniques. This study aimed to compare tendon transfer techniques of Riordan and Burkhalter.
Methods: This was a clinical-trial study on 40 patients underwent opponensplasty referred to Isfahan University of Medical Sciences hospitals, Iran, during 2013-16. Patients with traumatic low median nerve palsy were divided to two groups of Riordan and Burkhalter operation. Demographics, functional status, Kapandji score and, pulp pinching tests were conducted for all patients prior to surgery, and within 3 and 8 months after surgery.
Findings: There was significant differences in both groups in terms of functional status, Kapandji score, and pulp pinching test (P < 0.050 for all), but comparison of two groups was not different (P > 0.050 for all). Complications of Riordan technique was significantly more than Burkhalter technique (P = 0.021).
Conclusion: None of the Burkhalter or Riordan techniques was superior to the other one in terms of opposition recovery; but postsurgical complications of Burkhalter opponensplasty were fewer. |
topic |
Tendon transfer Peripheral nerve injuries Median nerve Techniques |
url |
http://jims.mui.ac.ir/index.php/jims/article/view/8906 |
work_keys_str_mv |
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