Nerve transfers. New options for reconstruction following nerve injury.

Nerve transfers. New options for reconstruction following nerve injury.
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DOI:
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发表时间:
1999-11
期刊:
影响因子:
1.1
通讯作者:
Susan E Mackinnon;C. Novak
Susan E Mackinnon;C. Novak
中科院分区:
医学4区
文献类型:
--
作者:
Susan E Mackinnon;C. Novak

文献摘要

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近端神经修复或长神经移植的手术重建提供了不太理想的结果,提供了研究替代重建技术的机会。运动神经损伤后的良好运动功能需要在关键时间段内最大数量的运动轴突到达运动终板。神经转移通过允许直接端对端神经修复而无需张力来消除对神经移植物的需要。本文综述了上下肢神经损伤患者使用神经转移的手术选择。
Surgical reconstruction of proximal level nerve repair or long nerve grafts have provided less than optimal results, presenting the opportunity for investigation of alternate reconstructive techniques. Good motor function following an injury to a motor nerve requires a maximal number of motor axons reaching the motor end plate within a critical time period. Nerve transfers eliminate the need for a nerve graft by allowing a direct end to end nerve repair without tension. This article reviews surgical options using nerve transfers for patients with upper and lower extremity nerve injuries.