Vein conduit associated with microsurgical suture for complete collateral digital nerve severance - 17/05/11
, F. Rabarin b, J. Jeudy b, B. Césari b, Y. Saint-Cast b, P.-A. Fouque b, G. Raimbeau b
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Summary |
The aim of this study is to present the long term results of a series of 53 vein conduit grafts as first line therapy to repair complete severance of one or more collateral digital nerves. The surgical technique included an epi-perineural suture of the nerve under minimal tension, associated with a vein graft harvested from the back of the hand to cover the nerve. None of the patients presented with a neuroma, spontaneous pain or had stopped using the injured finger. Sensibility results were good or very good in 67% of cases. The scar at the donor site was very light or invisible. A total of 96% of patients were satisfied or very satisfied. This simple technique, by protecting the injured nerve, results in a rate of sensory nerve recovery that is comparable or better than that of other series in the literature, without neuroma and with minimal scarring at the donor site.
Le texte complet de cet article est disponible en PDF.Keywords : Vein conduit, Digital nerve sensibility, Microsurgical repair
Plan
Vol 97 - N° 4S
P. S16-S20 - juin 2011 Retour au numéro
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