Nerve Reconstruction in the Hand and Upper Extremity
Nerve Reconstruction in the Hand and Upper Extremity
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DOI：
10.1016/j.cps.2011.07.008
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发表时间：
2011-10-01
影响因子：
2.3
通讯作者：
Mackinnon, Susan E.
中科院分区：
文献类型：
--
作者：
Boyd, Kirsty U.;Nimigan, Andre S.;Mackinnon, Susan E.
在创伤性周围神经损伤的管理中，损伤的严重程度或程度决定了手术治疗与保守治疗和系列检查之间的决策。这篇综述探讨了一些最近的文献，特别是最近的基础科学进展的端侧和反向端侧恢复，雪旺细胞迁移，神经性疼痛。神经间隙的管理，包括使用神经导管和脱细胞神经同种异体移植物，检查。目前通常进行的神经转移的详细重点是运动和感觉神经转移，其适应症，并选择手术技术的基本概述。
In the management of traumatic peripheral nerve injuries, the severity or degree of injury dictates the decision making between surgical management versus conservative management and serial examination. This review explores some of the recent literature, specifically addressing recent basic science advances in end-to-side and reverse end-to-side recovery, Schwann cell migration, and neuropathic pain. The management of nerve gaps, including the use of nerve conduits and acellularized nerve allografts, is examined. Current commonly performed nerve transfers are detailed with focus on both motor and sensory nerve transfers, their indications, and a basic overview of selected surgical techniques.