The results of operation for interfascicular autotransplantation conducted on 50 patients with traumatic injuries to the median and ulnar nerves are analysed. The study confirmed the high efficacy of repairing defects in nerves with autografts and interfascicular apposition of the separate elements of the nerve trunks. The best results were produced with the use of short autografts. At the current stage of the development of the surgical treatment of injuries to the peripheral nerves, microsurgery with interfascicular suture and autotransplantation should be considered the method of choice.
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Objective: To assess the functional results of nerve reconstruction with autologous interfascicular nerve grafts in a thoracic limb.
Material And Methods: From January 1999 to December 2006. Complete nerve injuries of the radial, median and ulnar nerves.
Plast Reconstr Surg
December 2009
New York, N.Y. From the Institute of Plastic and Reconstructive Surgery, Department of Surgery, New York University School of Medicine, and the Department of Anatomy/Cell Biology, College of Physicians and Surgeons, Columbia University.
Peripheral nerve defects are common. The surgeon faced with these problems must provide the best functional recovery for the patient with the tools provided. The ideal nerve reconstruction would create a tensionless repair with direct coaptation.
View Article and Find Full Text PDFJ Hand Surg Am
January 2008
Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul, Korea.
Purpose: The purpose of this study is to present the outcome of sural nerve grafting that focuses on motor fascicles in 6 patients with high radial nerve injuries with defects of more than 9 cm.
Methods: Six patients with a high radial nerve complete injury were treated with a sural nerve autograft during a 6-year interval from June 1994 to June 2000. The gap of the radial nerve, which was measured in the surgical field, was 9 cm in 1 patient, 10 cm in 4 patients, and 11 cm in 1 patient.
Acta Neurochir Suppl
December 2007
Millesi Center for the Surgery of Brachial Plexus and Peripheral Nerve Lesions, Vienna Private Clinic, Vienna, Austria.
Autologous nerve grafting has been performed since 1876 without success. Since the 1960s, the interfascicular nerve grafting technique has provided a reliable method to bridge very long nerve defects with predictable results. Personal experience of over 40 years has demonstrated that donor site morbidity is minimal if certain precautions are observed.
View Article and Find Full Text PDFMicrosurgery
December 2007
Department of Plastic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
After peripheral nerve injury, minimizing axonal misdirection has been a matter of importance to obtain good functional outcomes. In general, it becomes more challenging as the nerve defect length is longer. As previous works suggested that a conduit repair leaving a short gap could induce some target-specific reinnervation, we expected that a distally placed conduit combined with nerve graft would enhance the specificity of reinnervation, especially in dealing with a long gap.
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