Evaluation of Anatomical Localization of Ulnar Nerve Motor Branch in Supercharged End-to-Side Anterior Interosseous to Ulnar Motor Nerve Transfer for Intrinsic Musculature Reinnervation
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- Category: Vol. 92, December 2024
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Evaluation of Anatomical Localization of Ulnar Nerve Motor Branch in Supercharged End-to-Side Anterior Interosseous to Ulnar Motor Nerve Transfer for Intrinsic Musculature Reinnervation, YASSER A. ABDALRAHEEM, MOSTAFA M. SAMY and MOHAMED A. HEWEDY
Abstract Background: Damage to the ulnar nerve can cause issues with the movement and sensation of the hand. Aim of Study: To find the best place for the motor branch of the ulnar nerve to re-connect with the intrinsic muscles after an ulnar nerve injury caused by trauma using a supercharged end-to-side anterior interosseous nerve (AIN) to ulnar motor nerve transfer technique. Patients and Methods: The research team at Beni-Suef University Hospitals prospectively studied ten patients who had ulnar nerve injuries and sought surgical repair between March 2021 and March 2024. In patients, supercharged end-to-side nerve transfer (UR+SETS) was used to restore the ulnar nerve by anatomically localizing a motor branch of the nerve. Results: The patients’ average age was 31.2±7.66 years, and males made up the majority (70%). The average duration before surgery was 4.25±1.48 months. 30% of all injuries were sustained from falls from heights. After a 6-month follow-up, our results showed that intrinsic muscle function had been re-stored and deformity had decreased, suggesting beneficial out-comes. Conclusion: The procedure provides a good option to re-store the ulnar nerve functions in cases of high ulnar nerve lesions. The procedure is easy to perform, with minimal do-nor-site morbidity.