Background and aim of this clinical case presentation is to reveal the importance of early nerve injury diagnosis and surgical treatment in war wounded patients. Methods. The author treated patients in Amman Charity Hospital were among different plastic surgery cases where limb nerve injuries with nerve grafting indication. The presented case was treated with autologus sural nerve graft. Results were evaluated at 3 months after the surgery and revealed detectable nerve conductibility at the Electromiography test. In conclusion, in cases with delayed nerve repair surgical treatment in war wounded
Several methods have been exercised during the past years, thus offering the surgeon the possibility to choose when planning reconstructive surgery. Among these methods, we recall: the dislocation of a large surface of skin and fasciocutaneous flaps, the transposition of the muscle and its covering with a simple cutaneous flap or a cutaneo-adipose flap, musculocutaneous pediculate flaps, neurovascular flaps. The study was conducted on 292 patients with 3rd and 4th degree decubitus lesions admitted into and operated at the Plastic Surgery and Reconstructive Microsurgery ward during 10 years. Pediculated flaps on septofasciocutaneous perforating arteries or on musculocutaneous perforating arteries are more difficult to harvest (they require a precise knowledge about the localization of the perforating artery) but provide a better post-op result.
