Epineural Sleeve Reconstruction Technique for Median Nerve Complete Transection | ||
The Archives of Bone and Joint Surgery | ||
مقاله 9، دوره 6، شماره 2، خرداد 2018، صفحه 140-145 اصل مقاله (1.32 M) | ||
نوع مقاله: TECHNICAL NOTE | ||
شناسه دیجیتال (DOI): 10.22038/abjs.2017.20182.1525 | ||
نویسندگان | ||
Spyridon P. Galanakos1؛ Andreas F. Mavrogenis* 2؛ Christos Vottis2؛ George A. Macheras1؛ Ioannis Ignatiadis3 | ||
1Department of Orthopaedics, KAT Hospital, Athens, Greece | ||
2Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University General Hospital, Athens, Greece | ||
3Athens Medical Center, Psychico Clinic, Athens, Greece | ||
چکیده | ||
In microsurgical nerve repair, the epineural sleeve technique can be used to bridge short nerve defects and to cover the coaptation site with the epineurium of the nerve stump. The epineurium serves as a mechanical aid to reduce gap size, and increase repair strength, effectively assisting nerve regeneration. This article presents a 32-year-old patient who experienced complete transection of the median nerve at the distal forearm, which was treated with the epineural sleeve graft reconstruction technique. Nerve regeneration was followed-up for 18 months and evaluated with the Rosén and Lundborg scoring system. The final outcome was excellent; at the last follow-up, the patient experienced complete sensory and motor function of the median nerve. | ||
کلیدواژهها | ||
Epineural sleeve؛ Microsurgical repair؛ Nerve graft | ||
مراجع | ||
1. Chiu DT, Janecka I, Krizek TJ, Wolff M, Lovelace RE. Autogenous vein graft as a conduit for nerve regeneration. Surgery. 1982; 91(2):226-33. 2. Chiu DT. Autogenous and synthetic conduits for nerve repair. In: Omer GE, Spinner M, Van Beek A, editors. Management of peripheral nerve problems. Philadelphia: WB Saunders Company; 1998. P. 305-10. 3. Demirkan F, Snyder CC, Latifoglu O, Siemionow M. A method of enhancing regeneration of conventionally repaired peripheral nerves. Ann Plastic Surg. 1995; 34(1):67-72. 4. Kiyotani T, Teramachi M, Takimoto Y, Nakamura T, Shimizu Y, Endo K. Nerve regeneration across a 25- mm gap bridged by a polyglycolic acid-collagen tube: a histological and electrophysiological evaluation of regenerated nerves. Brain Res. 1996; 740(1-2):66-74. 5. Lundborg G, Rosen B, Abrahamson SO, Dahlin L, Danielsen N. Tubular repair of the median nerve in the human forearm. Preliminary findings. J Hand Surg Br. 1994; 19(3):273-6. 6. Restrepo Y, Merle M, Michon J, Folliguet B, Petry D. Fascicular nerve graft using an empty perineurial tube: an experimental study in the rabbit. Microsurgery. 1983; 4(2):105-12. 7. Restrepo Y, Merle M, Michon J, Folliguet B, Barrat E. Free vascularized nerve grafts: an experimental study in the rabbit. Microsurgery. 1985; 6(2):78-84. 8. Wang KK, Cetrulo CL Jr, Seckel BR. Tubulation repair of peripheral nerves in the rat using an inside-out intestine sleeve. J Reconstr Microsurgery. 1999; 15(7):547-54. 9. Lubiatowski P, Unsal FM, Nair D, Ozer K, Siemionow M. The epineural sleeve technique for nerve graft reconstruction enhances nerve recovery. Microsurgery. 2008; 28(3):160-7. 10. Malizos KN, Dailiana ZH, Anastasiou EA, Sarmas I, Soucacos PN. Neuromas and gaps of sensory nerves of the hand: management using vein conduits. Am J Orthop (Belle Mead NJ). 1997; 26(7):481-5. 11. Millesi H. The nerve gap. Theory and clinical practice. Hand Clin. 1986; 2(4):651-63. 12. Varitimidis SE, Sotereanos DG. Partial nerve injuries in the upper extremity. Hand Clin. 2000; 16(1):141-9. 13. Suematsu N. Tubulation for peripheral nerve gap: its history and possibility. Microsurgery. 1989; 10(1):71-4. 14. Urabe T, Zhao Q, Danielsen N, Lundborg G. Regeneration across a partial defect in rat sciatic nerve encased in a silicone chamber. Scand J Plast Reconstr Surg Hand Surgery. 1996; 30(1):7-15. 15. Strauch B. Use of nerve conduits in peripheral nerve repair. Hand Clin. 2000; 16(1):123-30. 16. Moore AM, Kasukurthi R, Magill CK, Farhadi HF, Borschel GH, Mackinnon SE. Limitations of conduits in peripheral nerve repairs. Hand. 2009; 4(2):180-6. 17. Snyder CC. Epineurial repair. Orthop Clin North Am. 1981; 12(2):267-76. 18. Snyder CC, Browne EZ, Herzog BG, Johnson EA, Coleman DA. Epineural cuff neurorrhaphy. J Bone Joint Surg Am. 1974; 2192(56A):1092. 19. Ignatiadis IA, Tsiampa VA, Yiannakopoulos CK, Xeinis SF, Papalois AE, Xenakis TH, et al. A new technique of autogenous conduits for bridging short nerve defects. An experimental study in the rabbit. Acta Neurochirur Suppl. 2007; 100S:73-6. 20. Ignatiadis IA, Yiannakopoulos CK, Barbitsioti AD, Avram AM, Patralexis HG, Tsolakis CK, et al. Diverse types of epineural conduits for bridging short nerve defects. An experimental study in the rabbit. Microsurgery. 2007; 27(2):98-104. 21. Karacaoglu E, Yuksel F, Peker F, Guler MM. Nerve regeneration through an epineurial sheath: its functional aspect compared with nerve and vein grafts. Microsurgery. 2001; 21(5):196-201. 22. Siemionow M, Tetik C, Ozer K, Ayhan S, Siemionow K, Browne E. Epineural sleeve neurorrhaphy: surgical technique and functional results--a preliminary report. Ann Plastic Surg. 2002; 48(3):281-5. 23. Tetik C, Ozer K, Ayhan S, Siemionow K, Browne E, Siemionow M. Conventional versus epineural sleeve neurorrhaphy technique: functional and histomorphometric analysis. Ann Plastic Surg. 2002; 49(4):397-403. 24. Ignatiadis IA, Yiannakopoulos CK, Avram AM, Gerostathopoulos NE. Posttraumatic neuroma of the radial nerve treated with an autogenous epineural conduit technique. A case report. Microsurgery. 2009; 29(2):133-5. 25. Dellon AL, Curtis RM, Edgerton MT. Reeducation of sensation in the hand after nerve injury and repair. Plast Reconstr Surg. 1974; 53(3):297-305. 26. Rosen B, Lundborg G. A model instrument for the documentation of outcome after nerve repair. J Hand Surg Am. 2000; 25(3):535-43. 27. Novak CB, Kelly L, Mackinnon SE. Sensory recovery after median nerve grafting. J Hand Surg Am. 1992; 17(1):59-68. 28. Lundborg G, Longo FM, Varon S. Nerve regeneration model and trophic factors in vivo. Brain Res. 1982; 232(1):157-61. 29. Longo FM, Manthorpe M, Skaper SD, Lundborg G, Varon S. Neuronotrophic activities accumulate in vivo within silicone nerve regeneration chambers. Brain Res. 1983; 261(1):109-16. 30. Yavuzer R, Ayhan S, Latifoglu O, Atabay K. Turnover epineural sheath tube in primary repair of peripheral nerves. Ann Plastic Surg. 2002; 48(4):392-400. | ||
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