Secondary nerve reconstruction using vein conduit grafts for neglected digital nerve injuries

Microsurgery ◽  
2008 ◽  
Vol 28 (6) ◽  
pp. 436-440 ◽  
Author(s):  
Yen-Hsun Lee ◽  
Shyh-Jou Shieh
Keyword(s):  
Digital Nerve ◽  
Nerve Injuries ◽  
Nerve Reconstruction ◽  
Secondary Nerve

Incidence of Neurapraxia in Digital Nerve Injuries

2000 ◽  
Vol Volume 16 (Number 2) ◽  
pp. 0095-0100 ◽  
Author(s):  
Aamir Siddiqui ◽  
Charles I. Benjamin ◽  
Warren Schubert
Keyword(s):  
Digital Nerve ◽  
Nerve Injuries

Termino-lateral nerve suture in lesions of the digital nerves: clinical experience and literature review

2009 ◽  
Vol 35 (2) ◽  
pp. 109-114 ◽  
Author(s):  
S. Artiaco ◽  
P. Tos ◽  
L. G. Conforti ◽  
S. Geuna ◽  
B. Battiston
Keyword(s):  
Clinical Experience ◽  
Functional Results ◽  
Discrimination Test ◽  
Digital Nerve ◽  
Nerve Reconstruction ◽  
Nerve Lesions ◽  
Nerve Suture ◽  
Sensory Recovery ◽  
The Mean ◽  
The One

Documented experience of treatment of digital nerve lesions with the termino-lateral (end-to-side) nerve suture is limited. Our clinical experience of this technique is detailed here alongside a systematic review of the previous literature. We performed, from 2002 to 2008, seven termino-lateral sutures with epineural window opening for digital nerve lesions. Functional outcome was analysed using the two-point discrimination test and the Semmes–Weinstein monofilament test. The results showed a sensory recovery of S3+ in six cases and S3 in one case. The mean distance found in the two-point discrimination test was 12.7 mm (range 8–18 mm). After a review of the literature, we were able to obtain homogeneous data from 17 additional patients operated by termino-lateral coaptation. The overall number of cases included in our review was 24. A sensory recovery was observed in 23 out of 24 patients. The functional results were S0 in one case, S3 in one case, S3+ in twenty cases and S4 in two cases. Excluding the one unfavourable case, the mean distance in the two-point discrimination test was 9.7 mm (range 3–18 mm). It can thus be concluded that the treatment of digital nerve lesions with termino-lateral suture showed encouraging results. Based on the results obtained in this current study we believe that in case of loss of substance, end-to-side nerve coaptation may be an alternative to biological and synthetic tubulisation when a digital nerve reconstruction by means of nerve autograft is declined by the patient.

scholarly journals Sensory Recovery Outcome after Digital Nerve Repair in Relation to Different Reconstructive Techniques: Meta-Analysis and Systematic Review

2013 ◽  
Vol 2013 ◽  
pp. 1-17 ◽  
Author(s):  
Felix J. Paprottka ◽  
Petra Wolf ◽  
Yves Harder ◽  
Yasmin Kern ◽  
Philipp M. Paprottka ◽  
...  
Keyword(s):  
Meta Analysis ◽  
Nerve Repair ◽  
Donor Site ◽  
Surgical Techniques ◽  
Graft Material ◽  
Digital Nerve ◽  
Nerve Reconstruction ◽  
Level Of Evidence ◽  
Sensory Recovery ◽  
End To End

Good clinical outcome after digital nerve repair is highly relevant for proper hand function and has a significant socioeconomic impact. However, level of evidence for competing surgical techniques is low. The aim is to summarize and compare the outcomes of digital nerve repair with different methods (end-to-end and end-to-side coaptations, nerve grafts, artificial conduit-, vein-, muscle, and muscle-in-vein reconstructions, and replantations) to provide an aid for choosing an individual technique of nerve reconstruction and to create reference values of standard repair for nonrandomized clinical studies. 87 publications including 2,997 nerve repairs were suitable for a precise evaluation. For digital nerve repairs there was practically no particular technique superior to another. Only end-to-side coaptation had an inferior two-point discrimination in comparison to end-to-end coaptation or nerve grafting. Furthermore, this meta-analysis showed that youth was associated with an improved sensory recovery outcome in patients who underwent digital replantation. For end-to-end coaptations, recent publications had significantly better sensory recovery outcomes than older ones. Given minor differences in outcome, the main criteria in choosing an adequate surgical technique should be gap length and donor site morbidity caused by graft material harvesting. Our clinical experience was used to provide a decision tree for digital nerve repair.

183: ULTRASONOGRAPHIC ASSESSMENT OF DIGITAL NERVE INJURIES

2011 ◽  
Vol 127 ◽  
pp. 100
Author(s):  
KT Magge ◽  
MD de la Lama ◽  
JK Kessler ◽  
HU Umans ◽  
RL Liebling
Keyword(s):  
Digital Nerve ◽  
Nerve Injuries ◽  
Ultrasonographic Assessment

scholarly journals The outcomes od 150 consecutive patients with digital nerve injuries treated in a single centre

2015 ◽  
Author(s):  
Slađana Anđelković ◽  
Aleksandar Lesic ◽  
Marko Bumbasirevic ◽  
Lukas Rasulic
Keyword(s):  
Digital Nerve ◽  
Nerve Injuries ◽  
Single Centre
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