METHOD FOR ACCELERATED RECOVERY OF MUSCLE INNERVATION OF FINGER I ELEVATION IN INJURES OF MEDIAN NERVE IN PROXIMAL SEGMENT Russian patent published in 2020 - IPC A61B17/00 A61B17/11 A61B17/56 

FIELD: medicine.

SUBSTANCE: invention refers to clinical medicine, namely to traumatology and neurosurgery. Distal portion is exposed to a median nerve at a wrist level. After dissecting epineurium, a bundle corresponding to the motor return branch is picked up and mobilized to the level of a metapodium with dissection of the transverse ligament of the wrist. Separated beam is transected in the proximal segment of access. Second incision is used to uncover the ulnar nerve in the Guyon canal and visualize its deep branch. Canal is formed in the wrist tissues. Mobilized preoperative branch of the median nerve to the ulnar nerve is brought. On the lateral surface of the deep ulnar nerve branch, a perineurium defect is formed. Proximal portion of the motor branch of the median nerve is connected to the periphery of the defect of the deep ulnar nerve branch by perineural sutures. Surgical wounds are closed in layers.

EFFECT: method enables fast (in 1,5–2 months) recovery of motor activity of the fingers of the first finger.

1 cl, 2 dwg