Document Detail


Emergency management of traumatic collateral palmar digital nerve defect inferior to 30mm by venous grafting. Report on 12 clinical cases.
MedLine Citation:
PMID:  21071256     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
INTRODUCTION: When traumatic collateral palmar digital nerve defect occurs, emergency venous grafting is an alternative to the two-step nervous grafting procedure.
METHODS: During the course of a monocentric retrospective study, 12 cases of emergency venous grafting were reviewed by a single independent examiner 11 months, at least, post-intervention. Clinical and functional evaluation was carried out, together with a self-assessment of the results by the patient. Data were compacted using a filtering method and the final result was considered in terms of "good" or "bad".
RESULTS: Good result was observed in ten cases out of 12. Bad results were associated with poor sensory recovery in the two other cases. In one of these, the bad result was also related to severe symptoms in cold conditions and a troublesome hyperesthesia.
DISCUSSION: Through a review of the literature, we justify the emergency treatment of nerve defects of the collateral palmar digital nerves with veinous grafting.
Authors:
C Laveaux; J Pauchot; L Obert; V Choserot; Y Tropet
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Publication Detail:
Type:  Journal Article     Date:  2010-10-19
Journal Detail:
Title:  Chirurgie de la main     Volume:  30     ISSN:  1769-6666     ISO Abbreviation:  Chir Main     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-03-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100937750     Medline TA:  Chir Main     Country:  France    
Other Details:
Languages:  eng     Pagination:  16-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Masson SAS. All rights reserved.
Affiliation:
Department of Orthopaedics, Traumatology, Plastic and Reconstructive Surgery, and Hand Management, EA 4268 Innovation, Imaging, Engineering and Health Intervention « I4S » -IFR 133, Inserm Innovation and Surgical Technique Centre, CHU Jean-Minjoz, University of Franche-Comté, Besançon, France.
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