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Use of vein conduit and isolated nerve graft in peripheral nerve repair: a comparative study.

Ahmad I, Akhtar MS - Plast Surg Int (2014)

Bottom Line: At the end of second year, 84% patients of the study group achieved 2-point discrimination of <10 mm compared to 60% only in control group.In terms of motor recovery, 82% patients achieved satisfactory hand function in study group compared to 56% in control group (P < .05).Conclusions.

View Article: PubMed Central - PubMed

Affiliation: Post Graduate Department of Burns, Plastic and Reconstructive Surgery, JNMC, AMU, Aligarh, Uttar Pradesh 202002, India.

ABSTRACT
Aims and Objectives. The aim of this study was to evaluate the effectiveness of vein conduit in nerve repair compared with isolated nerve graft. Materials and Methods. This retrospective study was conducted at author's centre and included a total of 40 patients. All the patients had nerve defect of more than 3 cm and underwent nerve repair using nerve graft from sural nerve. In 20 cases, vein conduit (study group) was used whereas no conduit was used in other 20 cases. Patients were followed up for 2 years at the intervals of 3 months. Results. Patients had varying degree of recovery. Sensations reached to all the digits at 1 year in study groups compared to 18 months in control group. At the end of second year, 84% patients of the study group achieved 2-point discrimination of <10 mm compared to 60% only in control group. In terms of motor recovery, 82% patients achieved satisfactory hand function in study group compared to 56% in control group (P < .05). Conclusions. It was concluded that the use of vein conduit in peripheral nerve repair is more effective method than isolated nerve graft providing good sensory and motor recovery.

No MeSH data available.


Related in: MedlinePlus

(a) Photograph showing median nerve defect. (b) Harvesting of sural nerve and short saphaneous vein through the same incision. (c) Sural nerve packed within the short saphaneous vein after turning on itself. (d) Graft inserted into the defect and anastomosis done.
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fig2: (a) Photograph showing median nerve defect. (b) Harvesting of sural nerve and short saphaneous vein through the same incision. (c) Sural nerve packed within the short saphaneous vein after turning on itself. (d) Graft inserted into the defect and anastomosis done.

Mentions: Following steps were performed (Figures 1, 2, and 3).


Use of vein conduit and isolated nerve graft in peripheral nerve repair: a comparative study.

Ahmad I, Akhtar MS - Plast Surg Int (2014)

(a) Photograph showing median nerve defect. (b) Harvesting of sural nerve and short saphaneous vein through the same incision. (c) Sural nerve packed within the short saphaneous vein after turning on itself. (d) Graft inserted into the defect and anastomosis done.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4227328&req=5

fig2: (a) Photograph showing median nerve defect. (b) Harvesting of sural nerve and short saphaneous vein through the same incision. (c) Sural nerve packed within the short saphaneous vein after turning on itself. (d) Graft inserted into the defect and anastomosis done.
Mentions: Following steps were performed (Figures 1, 2, and 3).

Bottom Line: At the end of second year, 84% patients of the study group achieved 2-point discrimination of <10 mm compared to 60% only in control group.In terms of motor recovery, 82% patients achieved satisfactory hand function in study group compared to 56% in control group (P < .05).Conclusions.

View Article: PubMed Central - PubMed

Affiliation: Post Graduate Department of Burns, Plastic and Reconstructive Surgery, JNMC, AMU, Aligarh, Uttar Pradesh 202002, India.

ABSTRACT
Aims and Objectives. The aim of this study was to evaluate the effectiveness of vein conduit in nerve repair compared with isolated nerve graft. Materials and Methods. This retrospective study was conducted at author's centre and included a total of 40 patients. All the patients had nerve defect of more than 3 cm and underwent nerve repair using nerve graft from sural nerve. In 20 cases, vein conduit (study group) was used whereas no conduit was used in other 20 cases. Patients were followed up for 2 years at the intervals of 3 months. Results. Patients had varying degree of recovery. Sensations reached to all the digits at 1 year in study groups compared to 18 months in control group. At the end of second year, 84% patients of the study group achieved 2-point discrimination of <10 mm compared to 60% only in control group. In terms of motor recovery, 82% patients achieved satisfactory hand function in study group compared to 56% in control group (P < .05). Conclusions. It was concluded that the use of vein conduit in peripheral nerve repair is more effective method than isolated nerve graft providing good sensory and motor recovery.

No MeSH data available.


Related in: MedlinePlus