Abstract
Introduction
A segmental nerve defect from trauma results in significant loss of function of the
extremity, and rarely occurs in isolation. Autografting of the nerve defect is the
current gold standard.
Methods
A review of the recent literature regarding peripheral nerve defects after trauma
treated with autograft.
Results
Identification of the zone of nerve injury is difficult and appropriate resection
is critical for good outcomes. Meaningful recovery is more likely with application
of excellent technique. Many of the factors affecting outcomes are not modifiable.
Conclusion
Nerve grafting for segmental nerve injuries continues to be an essential and appropriate
treatment.
Keywords
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References
- Nerve reconstruction in the hand and upper extremity.Clin Plast Surg. 2011; 38: 643-660
- A preliminary assessment of the utility of large-caliber processed nerve allografts for the repair of upper extremity nerve injuries.Hand. 2017; 12: 55-59
- Upper limb nerve transfers: a review.Hand Surg Rehabil. 2017; 36: 151-172https://doi.org/10.1016/j.hansur.2016.11.007
- Nerve grafting.Clin Orthop Relat Res. 1978; 133: 49-55
- Principles of nerve repair in complex wounds of the upper extremity.Semin Plast Surg. 2015; 29: 40-47
- Nerve grafting in peripheral nerve microsurgery of the upper extremity.Microsurgery. 1994; 15: 506-511
- The role of nerve graft substitutes in motor and mixed motor/sensory peripheral nerve injuries.J Hand Surg Am. 2017; 42: 367-377
- Optimal timing for repair of peripheral nerve injuries.J Trauma Acute Care Surg. 2017; 83: 875-881
- Nerve repair and nerve grafting.Hand Clin. 2016; 32: 119-125
- Repair of median and ulnar nerves. primary suture is best.J Bone Jt Surg Br. 1991; 73: 154-157
- Contributing factors to poor functional recovery after delayed nerve repair: prolonged denervation.J Neurosci. 1995; 15: 3886-3895
- The results of secondary microsurgical repair of radial nerve in 33 patients.J Hand Surg. 1993; 18 ((British Eur Vol): 320-322
- The results of secondary microsurgical repair of ulnar nerve injury.J Hand Surg. 1993; 18 ((British Eur Vol): 323-326
- An analysis of the results of late reconstruction of 132 median nerves.J Hand Surg Am. 1993; 18: 97-105
- Median, ulnar, and combined median-ulnar nerve injuries: functional outcome and return to productivity.J Trauma Inj Infect Crit Care. 2001; 51: 687-692
- Peripheral nerve reconstruction after injury: a review of clinical and experimental therapies.Biomed Res Int. 2014; 2014698256
Article info
Publication history
Published online: October 21, 2019
Accepted:
October 21,
2019
Footnotes
This paper is part of a Supplement supported by the European Federation of Societies of Microsurgery (EFSM) and the Serbian Society for Reconstructive Microsurgery (SSRM).
Identification
Copyright
© 2019 Elsevier Ltd. All rights reserved.
