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J Reconstr Microsurg 2008; 24(2): 095-101
DOI: 10.1055/s-2008-1064923
© Thieme Medical Publishers

Early and Late Results of Nerve Decompression Procedures in Diabetic Neuropathy: A Series from Turkiye

Huseyin Karagoz1 , Fuat Yuksel2 , Ersin Ulkur2 , Bahattin Celikoz2
  • 1Department of Plastic and Reconstructive Surgery, Maresal Cakmak Military Hospital, Erzurum, Turkiye
  • 2Department of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy, Haydarpasa Hospital, Department of Plastic and Reconstructive Surgery, Istanbul, Turkiye
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Publication History

Publication Date:
09 May 2008 (online)

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ABSTRACT

We researched the effect of nerve decompression procedures on diabetic neuropathy cases just in the following day after surgery as well as later, at 6 months. Twenty-four patients with diabetic neuropathy who underwent surgical decompression were entered into this study. The common peroneal, the posterior tibial, and the deep peroneal nerves were decompressed. Visual analog scale was used for management of the pain. Patients were screened with neurosensory testing by using a Pressure-Specified Sensory Device. Preoperative values as well as values on the postoperative first day and 6 months postoperatively were compared. We found pain relief rate to be 80% at postoperative first day and 85% at 6 months postoperatively. Mean two-point discrimination length improvement rates were found to be 72.6% at postoperative first day and 89% at 6 months postoperatively, which mean excellent and good improvement. We concluded that peripheral nerve decompression can be used effectively in the treatment of diabetic neuropathy patients.

KEYWORDS

Diabetic foot - nerve - decompression

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Dr. Huseyin Karagoz

Maresal Cakmak Asker Hastanesi, Plastik Cerrahi Servisi

25070 Yenisehir-Erzurum, Turkiye