The influence of harvesting method on morphological changes in sural nerve graft and on the quality of motor and sensory recovery

The influence of harvesting method on morphological changes in sural nerve graft and on the... The purpose of this study was to analyze morphological changes in the sural nerve which resulted from nerve harvesting using two methods; parallel transverse incisions (PTI) and longitudinal incisions (LI) and to evaluate the influence of those changes on the quality of sensory and motor recovery. Out of 617 patients with nerve injuries, 40 patients with an injury of the ulnar or median nerve in the distal part of the forearm and a nerve gap ranging from 4 to 6 cm were enrolled in this study. They were divided into two groups of 20 patients each. In group I the sural nerve was harvested using LI and in group II using PTI. Electron microscopy revealed considerable structural damage in the nerves harvested with PTI, while nerves harvested with LI showed little signs of damage. Patients in group I, in whom LI was used, also had better motor and sensory recovery. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

The influence of harvesting method on morphological changes in sural nerve graft and on the quality of motor and sensory recovery

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Publisher
Springer-Verlag
Copyright
Copyright © 2003 by Springer-Verlag
Subject
Medicine
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-003-0557-y
Publisher site
See Article on Publisher Site

Abstract

The purpose of this study was to analyze morphological changes in the sural nerve which resulted from nerve harvesting using two methods; parallel transverse incisions (PTI) and longitudinal incisions (LI) and to evaluate the influence of those changes on the quality of sensory and motor recovery. Out of 617 patients with nerve injuries, 40 patients with an injury of the ulnar or median nerve in the distal part of the forearm and a nerve gap ranging from 4 to 6 cm were enrolled in this study. They were divided into two groups of 20 patients each. In group I the sural nerve was harvested using LI and in group II using PTI. Electron microscopy revealed considerable structural damage in the nerves harvested with PTI, while nerves harvested with LI showed little signs of damage. Patients in group I, in whom LI was used, also had better motor and sensory recovery.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Nov 1, 2003

References

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