{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T19:37:11Z","timestamp":1789846631897,"version":"4.0.1"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: The aim of this study was to evaluate surgical treatment and follow-up results of patients who presented to our department with sciatic nerve injuries. \\r\\nMethods: The study included 13 patients (12 males, 1 female; mean age 23 years; range 11 to 35 years) who underwent surgical treatment for sciatic nerve injuries. The etiologies of sciatic nerve injuries were penetrating trauma in five patients, firearm injuries in four patients, and motor vehicle accidents in four patients. Injuries involved the knee level in five patients, and above-the-knee level in eight patients. Peroneal nerve involvement was seen in all the patients, and the tibial nerve was involved in 11 patients. Primary repair was performed in six patients, neurolysis in three patients, and nerve grafting in three patients. One patient underwent neurolysis for the peroneal portion, and nerve grafting for the tibial portion. Muscle strength and reflex changes were recorded at every stage of the treatment. Muscle strength was assessed according to the British Medical Research Council scale. The Semmes-Weinstein monofilament test was used for sensory evaluation. The mean follow-up period was 4 years (range 1 to 6 years).\\r\\nResults: In 11 patients with tibial nerve injuries, the soleus\/gastrocnemius strength was measured as follows: M1 in one patient, M3 in four patients, M4 in four patients, and M5 in two patients. Plantar sensation was absent in four patients, while seven patients had at least adequate protective sensation. In 13 patients with a peroneal nerve injury, the strength of the anterior tibial muscle was measured as follows: M0 in three patients, M2 in three patients, M3 in one patient, M4 in three patients, and M5 in three patients. Of these, four patients had persistent insensitivity in the dorsum of the foot, while six patients had protective sensation, and three patients had normal sensation. Two patients with inadequate anterior tibial muscle strength following nerve repair underwent posterior tibial tendon transfer for restoration of foot dorsiflexion. The greatest functional improvement was obtained in cases in which a neurolysis was performed; patients undergoing a primary repair had better outcomes compared to those where nerve grafts were used. The results were better in thigh level injuries than those in the gluteal region.\\r\\nConclusion: Low expectations after sciatic nerve repair in the past are now being rapidly replaced by a more optimistic approach. Advances in microsurgery and use of treatment algorithms based on scientific research account for this significant improvement in outcomes after sciatic nerve surgery. Tendon transfers can enhance the success rate and be combined with nerve repair in selected cases.\n\n\u00d6zet\n\nAma\u00e7: Klini\u011fimize siyatik sinir yaralanmas\u0131 nedeniyle ba\u015fvuran olgular\u0131n cerrahi tedavileri ve takip sonu\u00e7lar\u0131 de\u011ferlendirildi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: \u00c7al\u0131\u015fmaya siyatik sinir yaralanmas\u0131 nedeniyle sinir cerrahisi uygulanan 13 hasta (12 erkek, 1 kad\u0131n; ort. ya\u015f 23; da\u011f\u0131l\u0131m 11-35) al\u0131nd\u0131 Siyatik sinir hasar\u0131ndan sorumlu nedenler be\u015f hastada delici yaralanma, d\u00f6rd\u00fcnde ate\u015fli silah yaralanmas\u0131, d\u00f6rd\u00fcnde trafik kazas\u0131 idi. Yaralanma seviyesi be\u015f hastada diz seviyesi, sekiz hastada diz\u00fcst\u00fc seviye idi. T\u00fcm olgularda peroneal sinir tutulumu g\u00f6r\u00fcl\u00fcrken, tibial sinir tutulumu 11 olguda g\u00f6r\u00fcld\u00fc. Sinir onar\u0131m\u0131 yap\u0131lan olgular\u0131n \u00fc\u00e7\u00fcne n\u00f6roliz, alt\u0131s\u0131na primer n\u00f6rorafi, \u00fc\u00e7\u00fcne sinir grefti uyguland\u0131. Bir hastada ise peroneal b\u00f6l\u00fcme n\u00f6roliz, tibial b\u00f6l\u00fcme sinir grefti uyguland\u0131. Kas g\u00fcc\u00fc ve refleks de\u011fi\u015fimleri tedavinin her a\u015famas\u0131nda kaydedildi. Motor kas g\u00fcc\u00fc \u0130ngiltere T\u0131bbi Ara\u015ft\u0131rma Konseyi (British Medical Research Council) sistemine g\u00f6re de\u011ferlendirildi. Duyu de\u011ferlendirmesi i\u00e7in Semmes-Weinstein monoflaman testi kullan\u0131ld\u0131. Ortalama takip s\u00fcresi 4 y\u0131l (da\u011f\u0131l\u0131m 1-6 y\u0131l) idi.\\r\\nSonu\u00e7lar: Tibial sinir tutulumu olan 11 olgunun birinde M1, d\u00f6rd\u00fcnde M3, d\u00f6rd\u00fcnde M4 ve ikisinde M5 seviyesinde soleus\/gastrokinemius kas g\u00fcc\u00fc elde edildi. D\u00f6rt hastada plantar duyu elde edilemedi, yedi hastada en az koruyucu duyu sa\u011fland\u0131. Peroneal sinir lezyonu olan 13 olgunun \u00fc\u00e7\u00fcnde M0, \u00fc\u00e7\u00fcnde M2, birinde M3, \u00fc\u00e7\u00fcnde M4, \u00fc\u00e7\u00fcnde de M5 seviyesinde anterior tibial kas g\u00fcc\u00fc kazan\u0131ld\u0131. Bu hastalar\u0131n d\u00f6rd\u00fcnde ayak dorsali anestezik kald\u0131, alt\u0131s\u0131nda koruyucu duyu, \u00fc\u00e7\u00fcnde normal duyu elde edildi. Sinir onar\u0131m\u0131 yap\u0131lan fakat yeterli anterior tibial kas g\u00fcc\u00fc elde edilemeyen olgulardan ikisine ayak dorsifleksiyonunun sa\u011flanmas\u0131 i\u00e7in tibialis posterior transferi yap\u0131ld\u0131. En iyi sonu\u00e7lar\u0131n n\u00f6roliz yap\u0131lan olgularda elde edildi\u011fi g\u00f6zlendi; primer n\u00f6rorafi yap\u0131lan olgularda orta seviyede, sinir grefti ile onar\u0131m yap\u0131lanlarda ise daha k\u00f6t\u00fc sonu\u00e7 elde edildi. Bacak seviyesindeki lezyonlar\u0131n tedavi sonu\u00e7lar\u0131n\u0131n gluteal seviyedekilerden daha iyi oldu\u011fu g\u00f6zlendi.\\r\\n\u00c7\u0131kar\u0131mlar: Siyatik sinir onar\u0131mlar\u0131na kar\u015f\u0131 ge\u00e7mi\u015fteki karamsar yakla\u015f\u0131m h\u0131zla de\u011fi\u015fmektedir. Mikrocerrahideki geli\u015fmeler ve bilimsel olarak etkinli\u011fi kan\u0131tlanm\u0131\u015f tedavi algoritmalar\u0131n\u0131n kullan\u0131lmas\u0131 ile sonu\u00e7larda anlaml\u0131 bir iyile\u015fme g\u00f6zlenmektedir. Tendon transferleri ba\u015far\u0131y\u0131 art\u0131rabilir ve se\u00e7ilmi\u015f olgularda sinir onar\u0131m\u0131na eklenebilir.<\/jats:p>","DOI":"10.3944\/aott.2010.2172","type":"journal-article","created":{"date-parts":[[2010,5,12]],"date-time":"2010-05-12T14:27:30Z","timestamp":1273674450000},"page":"48-53","source":"Crossref","is-referenced-by-count":23,"title":["The results of surgical repair of sciatic nerve injuries"],"prefix":"10.5152","volume":"44","author":[{"given":"Atakan","family":"Aydin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Turker","family":"Ozkan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan","family":"Utkan Aydin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Topalan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Metin","family":"Erer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Safiye","family":"Ozkan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeynep","family":"Ho\u015fbay Yildirim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2351\/2308","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:56:49Z","timestamp":1763463409000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2351"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2010,1,1]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2010.2172","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}