Document Detail


Posttraumatic neuroma of the radial nerve treated with an autogenous epineural conduit technique. A case report.
MedLine Citation:
PMID:  19133698     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present the outcome of the first clinical application of a new technique using an epineural flap to bridge a short nerve defect. A 28-year-old male had suffered a radial nerve laceration at the lower third of the arm, proximal to the brachioradialis branch, 3 weeks before surgery. During surgery, a neuroma-in-continuity was excised preserving the epineural sleeve. Two longitudinal epineural flaps were created, one from the proximal and one from the distal nerve stump and used to bridge a 1-cm-long nerve defect. Each epineurium flap was sutured to the intact epineurium of the other side and additionally to each other. An electromagnetic nerve stimulator was used to enhance the nerve regeneration process. Nerve regeneration was followed up for 17 months with excellent functional results.
Authors:
I A Ignatiadis; C K Yiannakopoulos; A M Avram; N E Gerostathopoulos
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Microsurgery     Volume:  29     ISSN:  1098-2752     ISO Abbreviation:  Microsurgery     Publication Date:  2009  
Date Detail:
Created Date:  2009-02-09     Completed Date:  2009-06-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309230     Medline TA:  Microsurgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  133-5     Citation Subset:  IM    
Copyright Information:
(c) 2009 Wiley-Liss, Inc.
Affiliation:
Hand Surgery, Upper Limb and Microsurgery Department, KAT Hospital, Athens, Greece. ignatioa@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Humans
Lacerations / complications
Male
Nerve Regeneration
Neuroma / etiology,  surgery*
Peripheral Nerves / transplantation
Postoperative Period
Radial Nerve / injuries,  physiopathology
Radial Neuropathy / etiology,  surgery*
Surgical Flaps*
Suture Techniques
Transplantation, Autologous

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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