Neurolysis with Amniotic Membrane Nerve Wrapping for Treatment of Secondary Wartenberg Syndrome: A Preliminary Report

Gaspar, Michael P.; Kane, Patrick M.; Vosbikian, Michael M.; Ketonis, Constantinos; Rekant, Mark S.

doi:10.1142/s0218810417200015

Cited by 14 publications

(11 citation statements)

References 28 publications

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“… 8 This raised caution for use of allografts as nerve wraps, but the two studies investigating their use reported subjective and objective improvement without the need for subsequent revision procedures. 9 , 10 …”

Section: Discussionmentioning

confidence: 99%

Necrotic Granulomatous Inflammation after Use of Small Intestine Submucosa Matrix for Recurrent Compression Neuropathy

Koenig

Burns

Hayes

2022

Plastic and Reconstructive Surgery - Global Open

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Summary: Various techniques exist for treating recurrent carpal and ulnar tunnel syndrome, but AxoGuard nerve wrap has shown promising results for treatment of compression neuropathies when used in conjunction with neurolysis and tenosynovectomy. Prior results demonstrate no safety concerns, and there have not been any reported cases of infection, persistent inflammation, or recurrent perineural fibrosis. A 41-year-old, right-hand-dominant woman experienced repeated bouts of carpal and ulnar tunnel syndromes, which were treated with a small intestine submucosa matrix wrap around the median and ulnar nerves in the wrist. Here, we report a case of necrotic granulomatous inflammation 2.5 months after AxoGuard xenograft nerve wrap was placed around the median and ulnar nerves. As a salvage, NuShield placental allograft was wrapped around the median nerve, which has shown promising results at several months follow-up. Placental allograft nerve wraps represent a useful tool in compression neuropathy resistant to autografts, xenografts, and revision decompression operations.

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Section: Discussionmentioning

confidence: 99%

Necrotic Granulomatous Inflammation after Use of Small Intestine Submucosa Matrix for Recurrent Compression Neuropathy

Koenig

Burns

Hayes

2022

Plastic and Reconstructive Surgery - Global Open

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“…Several procedures and various implants have been used to minimize the risk of adhesions during peripheral nerve surgery. These include fat tissue transfer, hypothenar fat pad, collagen materials, amniotic tissue, Seprafilm and Interceed [13]- [24]. Authors have recently utilized a nerve barrier during a primary procedure with a significant improvement in outcomes and reduction in recurrence rate [25].…”

Section: Discussionmentioning

confidence: 99%

Nanofat and Platelet Rich Plasma to Enhance Recovery and Minimize Risk of Recurrence after Endoscopic Carpal Tunnel Release

Fitzmaurice¹

2019

MPS

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Carpal tunnel release is one of the most common and surgery procedures performed. Complications and recurrence of the condition can occur up to 20% of cases. We describe a technique of utilizing the nanofat and platelet rich plasma to successfully enhance healing and minimize risk of recurrence after endoscopic carpal tunnel release. This patient had exceptionally fast recovery, resuming work in one day and excellent grip strength and a full functioning level at his two-week follow-up. After one year he continues to demonstrate a complete resolution of symptoms and full function without any evidence of recurrence or complications.

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“…In vitro, in addition to preventing adhesion to surrounding tissue, it is involved in the differentiation of nerve cells. The site of injury to the surrounding tissue reduces fibrosis tissue and inflammatory cells 4,5 . It also significantly prevents the formation of scar tissue.…”

Section: Introductionmentioning

confidence: 99%

“…It also significantly prevents the formation of scar tissue. This membrane can stimulate fibroblasts to produce collagen and extracellular matrix components [3][4][5][6] . There are very few studies in this field so that the aim of this study was to investigate the effect of using the amniotic membrane wrapping on the results of surgical treatment of damaged peripheral nerves.…”

Section: Introductionmentioning

confidence: 99%

Effect of Amniotic Membrane Nerve Wrapping in Final Results of Traumatic Peripheral Nerve Repair

Shahraki

Yavari²,

Tabrizi³

2022

WJPS

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BACKGROUNDPreventing perineural adhesions and scars formation in the traumatic peripheral injuries is very important on the recovery process. We aimed to evaluate the effect of using the amniotic membrane wrapping on the results of surgical treatment of damaged peripheral nerves. METHODSThis cohort study included 30 patients with symptoms of acute peripheral nerve injuries due to penetrating trauma in the forearm or wrist in January 2019 to November 2020 referred to the Hand and Microsurgery Department,

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Neurolysis with Amniotic Membrane Nerve Wrapping for Treatment of Secondary Wartenberg Syndrome: A Preliminary Report

Abstract: SRN entrapment neuropathy was safely and effectively treated with neurolysis and amnion nerve wrapping in this small series. Use of this technique for perineural scar prevention warrants additional study in larger groups of patients and in other upper extremity entrapment neuropathies.

Cited by 14 publications

References 28 publications

Necrotic Granulomatous Inflammation after Use of Small Intestine Submucosa Matrix for Recurrent Compression Neuropathy

Necrotic Granulomatous Inflammation after Use of Small Intestine Submucosa Matrix for Recurrent Compression Neuropathy

Nanofat and Platelet Rich Plasma to Enhance Recovery and Minimize Risk of Recurrence after Endoscopic Carpal Tunnel Release

Effect of Amniotic Membrane Nerve Wrapping in Final Results of Traumatic Peripheral Nerve Repair

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