Microsurgery

Jobe, Mark T.

doi:10.1016/b978-0-323-03329-9.50063-5

Cited by 2 publications

(2 citation statements)

References 298 publications

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“…According to Jobe and Wright, 19 the fascicles of the radial, median and ulnar nerves are arranged as a complex network of branched fascicles that are constantly interspersed along the nerve, yet their distal portions can be dissected over long courses without presenting anastomoses. Oberlin himself, justifying the randomized use of fascicles in his initial study, declares that at arm level, the ulnar nerve fascicles are mixed (with sensory and motor fibers).…”

Section: Discussionmentioning

confidence: 99%

Resultado da neurotização do nervo ulnar para o músculo bíceps braquial na lesão do plexo braquial

et al. 2012

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OBJECTIVE: To evaluate the factors influencing the results of ulnar nerve neurotization at the motor branch of the brachii biceps muscle, aiming at the restoration of elbow flexion in patients with brachial plexus injury. METHODS: 19 patients, with 18 men and 1 woman, mean age 28.7 years. Eight patients had injury to roots C5-C6 and 11, to roots C5-C6-C7. The average time interval between injury and surgery was 7.5 months. Four patients had cervical fractures associated with brachial plexus injury. The postoperative follow-up was 15.7 months. RESULTS: Eight patients recovered elbow flexion strength MRC grade 4; two, MRC grade 3 and nine, MRC <3. There was no impairment of the previous ulnar nerve function. CONCLUSION: The surgical results of ulnar nerve neurotization at the motor branch of brachii biceps muscle are dependent on the interval between brachial plexus injury and surgical treatment, the presence of associated fractures of the cervical spine and occipital condyle, residual function of the C8-T1 roots after the injury and the involvement of the C7 root. Signs of reinnervation manifested up to 3 months after surgery showed better results in the long term. Level of Evidence: IV, Case Series.

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Section: Discussionmentioning

confidence: 99%

Resultado da neurotização do nervo ulnar para o músculo bíceps braquial na lesão do plexo braquial

et al. 2012

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“…Taylor recommended that vascularized nerve grafts are only used when there is a high risk of graft necrosis. It may be considered in situations where the nerve gap is large, the recipient bed is scarred, or the free transfer of a thick nerve is desired [ 29 , 30 ]. A study of 151 vascularized ulnar nerve grafts performed over a period of 23 years reported better outcomes when compared to conventional nerve grafts.…”

Section: Conventional Surgical Treatment Of Nerve Injuriesmentioning

confidence: 99%

Recent Advances and Developments in Neural Repair and Regeneration for Hand Surgery

Chimutengwende-Gordon¹,

Khan²

2012

TOORTHJ

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End-to-end suture of nerves and autologous nerve grafts are the ‘gold standard’ for repair and reconstruction of peripheral nerves. However, techniques such as sutureless nerve repair with tissue glues, end-to-side nerve repair and allografts exist as alternatives. Biological and synthetic nerve conduits have had some success in early clinical studies on reconstruction of nerve defects in the hand. The effectiveness of nerve regeneration could potentially be increased by using these nerve conduits as scaffolds for delivery of Schwann cells, stem cells, neurotrophic and neurotropic factors or extracellular matrix proteins. There has been extensivein vitroandin vivoresearch conducted on these techniques. The clinical applicability and efficacy of these techniques needs to be investigated fully.

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Microsurgery

Cited by 2 publications

References 298 publications

Resultado da neurotização do nervo ulnar para o músculo bíceps braquial na lesão do plexo braquial

Resultado da neurotização do nervo ulnar para o músculo bíceps braquial na lesão do plexo braquial

Recent Advances and Developments in Neural Repair and Regeneration for Hand Surgery

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