Functional Outcome of Anterior Interosseous Nerve Transfer to The Motor Branch of The Ulnar Nerve for High Ulnar Nerve Injuries

  • Karam Rasool Basra Department of Hand and Upper Limb Surgery (HULS) CMH Lahore Medical College Pakistan
  • Khalid Masood Hand and Upper limb surgery Center CMH Lahore Medical College, Lahore
  • Khalid Zulfiqar Qureshi Hand and Upper limb surgery Center CMH Lahore Medical College, Lahore
  • Hafiz Muhammad Kashif Shafi Hand and Upper limb surgery Center CMH Lahore Medical College, Lahore
  • Belal Saadat Hand and Upper limb surgery Center CMH Lahore Medical College, Lahore
  • Muhammad Saif ur Rehman Department of Orthopaedics, Services Hospital Lahore

Abstract

Objective: To evaluate functional outcome of the anterior interosseous nerve transfer to the motor branch of the ulnar nerve for cases of high ulnar nerve injuries


Methods: This descriptive study was conducted in Hand and Upper Limb Surgery (HULS) CMH Lahore Medical College Pakistan from 21st July 2016 to 21st August 2018. A total of 13 patients (10 males, 03 females), mean age 32years(range 18 to 42) with injury to the ulnar nerve(high) were treated with anterior interosseous nerve(AIN) transfer to the motor branch of ulnar nerve. Functional outcome was evaluated clinically preoperatively, immediately postoperatively and 03 to 06 month follow up to evaluate motor functional grading system.


Results: In high ulnar nerve injury in whom anterior interosseous nerve was transferred all cases showed good outcomes (M3 to M4 by motor functional grading system) with mean initial recovery period of 3.5 months


Conclusion: Treatment of high ulnar nerve injury with transfer of the anterior interosseous nerve to the motor branch of the ulnar nerve results in early near normal intrinsic recovery and restoration of hand functions.

Author Biographies

Karam Rasool Basra, Department of Hand and Upper Limb Surgery (HULS) CMH Lahore Medical College Pakistan

Classified orthopedic surgeon, Hand and Upper limb surgery Center CMH Lahore Medical College, Lahore

Khalid Masood, Hand and Upper limb surgery Center CMH Lahore Medical College, Lahore

Degree: MBBS, FCPS, MRCS, FEBHS

Institutional title: Head of Department

Institute: Hand and Upper limb surgery Center CMH Lahore Medical College, Lahore

Khalid Zulfiqar Qureshi, Hand and Upper limb surgery Center CMH Lahore Medical College, Lahore

Degree: MBBS, MCPS, FCPS (gen surg) fellowship in hand surgery (UK)

Institutional title: Hand surgeon

Institute: Hand and Upper limb surgery Center CMH Lahore Medical College, Lahore

Hafiz Muhammad Kashif Shafi, Hand and Upper limb surgery Center CMH Lahore Medical College, Lahore

Degree: MBBS, FCPS (ortho)

Institutional title: Classified orthopedic surgeon

Institute: Hand and Upper limb surgery Center CMH Lahore Medical College, Lahore

Belal Saadat, Hand and Upper limb surgery Center CMH Lahore Medical College, Lahore

Degree: MBBS, FCPS (ortho)

Institutional title: Classified orthopedic surgeon

Institute: Hand and Upper limb surgery Center CMH Lahore Medical College, Lahore

 

Muhammad Saif ur Rehman, Department of Orthopaedics, Services Hospital Lahore

Degree: MBBS, FCPS (ortho)

Institutional title: Senior registrar

Institute: Services Hospital Lahore

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Published
2019-09-30
How to Cite
BASRA, Karam Rasool et al. Functional Outcome of Anterior Interosseous Nerve Transfer to The Motor Branch of The Ulnar Nerve for High Ulnar Nerve Injuries. Journal of Pakistan Orthopaedic Association, [S.l.], v. 31, n. 02, p. 61-64, sep. 2019. ISSN 2076-8966. Available at: <http://jpoa.org.pk/index.php/upload/article/view/313>. Date accessed: 13 oct. 2019.

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