Nerve Repair and Nerve Grafting

Long term results of primary repair of combined cuts of median and ulnar nerves on forearm

“…Ideal treatment for peripheral nerve injuries because the neurotransmitter secretion will continue, is primary repair with best results can be obtained. [6] All of our patients underwent early primary repair.…”

Versorgungsstrategie von Nervenverletzungen bei schwerem Weichteilschaden

“…Hinlänglich bekannt sind die operativen Techniken zur Versorgung von Nervenverletzungen. Diese beinhalten die primäre Endzu-End-Koaptation, die Rekonstruktion entweder durch körpereigene Nerveninterponate oder durch synthetische Nervenröhrchen ("Conduits"), sowie komplexe rekonstruktive Verfahren, wie Nerventransfers ("Neurotisationen") [3,13]. Auf eine ausführliche Deskription dieser Techniken sei daher an dieser Stelle verzichtet, vielmehr soll deren Anwendung und Auswahl im Rahmen der Versorgungsstrategie bei schwerem Weichteiltrauma beleuchtet werden.…”

Advances in peripheral nerve regeneration as it relates to VCA

“…24 Various factors contribute to success of this technique, including timing of the repair, tension across the repair, atraumatic suture technique, status of the sutured ends, vascularity of the tissue bed, and internal matching of the fascicles. [25][26][27] Minimal tension across the repair site is a critical component of a successful repair. Undue tension has been shown to lead to nerve ischemia and mechanical failure of the repair in an animal model.…”

“…Methods to assess the condition of the nerve vary according to the surgeon's preference and include gross visual inspection as well as assessment under the microscope, feel and consistency, intraoperative histology, and nerve studies. 26,30 In cases of upper limb VCA, this may be challenging when attempting to cut back terminal neuroma bulbs until a uniformly viable proximal nerve stump is identified. A healthy vascular tissue bed for the repair is another factor affecting nerve recovery.…”