{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T23:51:25Z","timestamp":1791244285737,"version":"4.1.0"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg A Cent Eur Neurosurg"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Determining the true size or extent of the nerve defect after damage and excision of the posttraumatic neuroma is fundamental in the microsurgical treatment of the patient. It is assumed that the length of the scar in the nerve may depend on the nature of the combat wound of the limb, gunshot, or mine-explosive. Determining the extent of scarring in the nerve in cases of these two types of injury may provide an opportunity to establish a relationship with the type of injury or to disprove such a relationship. This should help in the surgical treatment tactics.<\/jats:p>\n                  <jats:p>Fifty samples of damaged peripheral nerves were studied, including 36 nerves of the upper limb and 14 nerves of the lower limb. Microsurgical operations were performed after the injury in an average of 5.4\u2009\u00b1\u20090.4 months (min\u2009=\u20092 months, max\u2009=\u200917 months). The specifics of scarring in the nerve were investigated by histochemical method, and the specific density of collagen at different distances was calculated. A map of scarring was created for each nerve sample to determine the length of the scar.<\/jats:p>\n                  <jats:p>Based on the mapping of nerve samples, the average length of the scar was determined, which reached 40 to 50\u2009mm in the nerves (Me\u2009=\u200935.5\u2009mm, Q1\u2009=\u200930.0, Q3\u2009=\u200955.2, min\u2009=\u200919\u2009mm, max\u2009=\u2009120\u2009mm). That length was 37.5\u2009\u00b1\u20095.5\u2009mm (mean\u2009=\u200930.0) after a gunshot wound and 43.5\u2009\u00b1\u20098.0\u2009mm (mean\u2009=\u200936.0) after mine-explosive wound. Morphological features of nerve scarring after these two types of damage did not differ (p\u2009=\u20090.29), neither in length nor in scar density.<\/jats:p>\n                  <jats:p>When calculating the true defect of the nerve, one should take into account the spread of the scarring process in the nerve, which in a combat wound is approximately 30 to 50\u2009mm. The length of the scar in the nerve does not depend on the nature of the striking projectile, which proves the critical importance of the energy of the injury.<\/jats:p>","DOI":"10.1055\/a-2797-9932","type":"journal-article","created":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T23:33:12Z","timestamp":1769902392000},"page":"406-412","source":"Crossref","is-referenced-by-count":0,"title":["Study of the Spread of Scarring along the Damaged Area of the Limb Nerve after Gunshot and Explosive Injuries"],"prefix":"10.1055","volume":"87","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5145-2195","authenticated-orcid":false,"given":"Serhii","family":"Strafun","sequence":"additional","affiliation":[{"name":"Department of Microsurgery and Reconstructive Surgery of the Upper Limb, State Institution \u201cInstitute of Traumatology and Orthopedics of National Academy of Medical Sciences of Ukraine,\u201d Kyiv, Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serhii","family":"Savosko","sequence":"additional","affiliation":[{"name":"Department of Histology and Embryology, Bogomolets National Medical University, Kyiv, Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrii","family":"Lysak","sequence":"additional","affiliation":[{"name":"Department of Microsurgery and Reconstructive Surgery of the Upper Limb, State Institution \u201cInstitute of Traumatology and Orthopedics of National Academy of Medical Sciences of Ukraine,\u201d Kyiv, Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5705-9909","authenticated-orcid":false,"given":"Olexandr","family":"Grabovyi","sequence":"additional","affiliation":[{"name":"Department of Histology and Embryology, Bogomolets National Medical University, Kyiv, Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Kyrpychova","sequence":"additional","affiliation":[{"name":"State Institution \u201cMain Medical Clinical Center of the Ministry of Internal Affairs of Ukraine\u201d - State Institution \u201cMain Medical Clinical Center of the Ministry of Internal Affairs of Ukraine\u201d Kyiv, Kyiv, Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,2]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.jor.2020.12.029","article-title":"Management of gunshot wound-related hip injuries: A systematic review of the current literature","volume":"23","author":"I Tisnovsky","year":"2020","journal-title":"J Orthop"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"e54","DOI":"10.1097\/TA.0000000000004134","article-title":"Rethinking limb tourniquet conversion in the prehospital 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learned from Iraq and Afghanistan","volume":"29","author":"E H Shin","year":"2015","journal-title":"Semin Plast Surg"},{"key":"ref10","first-page":"293","article-title":"Gunshot wounds: Ballistics, pathology, and treatment recommendations, with a focus on retained bullets","volume":"14","author":"G R Baum","year":"2022","journal-title":"Orthop Res Rev"},{"issue":"12","key":"ref11","first-page":"CD012574","article-title":"Bioengineered nerve conduits and wraps for peripheral nerve repair of the upper limb","volume":"12","author":"S E Thomson","year":"2022","journal-title":"Cochrane Database Syst Rev"},{"issue":"81","key":"ref12","doi-asserted-by":"crossref","first-page":"242","DOI":"10.26724\/2079-8334-2022-3-81-242-247","article-title":"Study of gunshot injuries features of peripheral nerves by modern weapons in the experiment","volume":"3","author":"V I Tsymbaliuk","year":"2022","journal-title":"World Med Biol"},{"issue":"11","key":"ref13","doi-asserted-by":"crossref","first-page":"e79395","DOI":"10.1371\/journal.pone.0079395","article-title":"Axonal regeneration after sciatic nerve lesion is delayed but complete in GFAP- and vimentin-deficient mice","volume":"8","author":"A Berg","year":"2013","journal-title":"PLoS ONE"},{"issue":"04","key":"ref14","doi-asserted-by":"crossref","first-page":"649","DOI":"10.21873\/invivo.11107","article-title":"Adipose tissue graft improves early but not late stages of nerve regeneration","volume":"31","author":"V Bloanc\u0103","year":"2017","journal-title":"In Vivo"}],"container-title":["Journal of Neurological Surgery Part A: Central European Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2797-9932.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:54:54Z","timestamp":1791240894000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2797-9932"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,31]]},"references-count":14,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2026,10,5]]},"published-print":{"date-parts":[[2026,11]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2797-9932","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2193-6315","2193-6323"],"issn-type":[{"value":"2193-6315","type":"print"},{"value":"2193-6323","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,1,31]]},"published":{"date-parts":[[2026,1,31]]}}}