Subject(s)
Autografts/blood supply , Femur/transplantation , Fracture Fixation, Internal/methods , Fractures, Ununited , Scaphoid Bone , Adult , Fractures, Ununited/complications , Fractures, Ununited/diagnosis , Fractures, Ununited/surgery , Humans , Male , Recovery of Function , Regional Blood Flow , Scaphoid Bone/injuries , Scaphoid Bone/pathology , Scaphoid Bone/surgery , Tomography, X-Ray Computed , Transplantation, Autologous/methods , Treatment Outcome , Wrist Injuries/diagnosis , Wrist Injuries/physiopathology , Wrist Injuries/surgeryABSTRACT
64 patients operated on the reason of complex regional hand pain syndrome were examined with the use of laser spectral Doppler flowmetry and thermography. 33 patients had thoracoscopic Th3 ganglion clipation; 16 patients had brachial artery and vein perivascular sympathectomy; 15 patients periarterial sympathectomy on the level of brachial artery. Desympathisation (microcirculatory hemodynamic improvement and trophotropic microcirculation regulatory changes) was mostly apparent after thoracoscopic clipation and perivascular desympatisation in comparison with isolated periarterial sympatectomy.
Subject(s)
Hand , Reflex Sympathetic Dystrophy , Sympathectomy , Vasomotor System/surgery , Aged , Brachial Artery/innervation , Breath Tests , Female , Hand/blood supply , Hand/innervation , Humans , Laser-Doppler Flowmetry , Male , Microcirculation , Middle Aged , Monitoring, Physiologic/methods , Postoperative Period , Reflex Sympathetic Dystrophy/diagnosis , Reflex Sympathetic Dystrophy/physiopathology , Reflex Sympathetic Dystrophy/surgery , Skin/blood supply , Skin/innervation , Skin Temperature , Sympathectomy/adverse effects , Sympathectomy/methods , Thermography , Thoracoscopy , Treatment Outcome , Vasomotor System/physiopathology , Veins/innervationABSTRACT
26 patients (21 females and 5 males, aged from 40 to 70 years) with complex regional pain syndrome (CRPS) who underwent thoracic sympathectomy at the Th3-4 level on the damaged side, were examined 1,5-2 months since trauma. After an operation all patients showed pain management, improvement of motor and trophic functions, positive dynamics of laser Doppler flowmetry and computer thermography. The given method was demonstrated to be effective and mostly successful at the early stages of CRPS.