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Titolo:
RECONSTRUCTION OF UPPER-EXTREMITY PERIPHERAL-NERVE INJURIES WITH EPTFE CONDUITS
Autore:
STANEC S; STANEC Z;
Indirizzi:
UNIV ZAGREB,SCH MED,CLIN HOSP DUBRAVA,DEPT PLAST SURG,AV IZVIDACA 6 ZAGREB 10000 CROATIA
Titolo Testata:
Journal of reconstructive microsurgery
fascicolo: 4, volume: 14, anno: 1998,
pagine: 227 - 232
SICI:
0743-684X(1998)14:4<227:ROUPIW>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
AUTOGENOUS VEIN GRAFT; MUSCLE AUTOGRAFTS; GROWTH-FACTOR; REPAIR; REGENERATION; DEFECTS; MODEL; GAP; MANAGEMENT; CHAMBERS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
40
Recensione:
Indirizzi per estratti:
Citazione:
S. Stanec e Z. Stanec, "RECONSTRUCTION OF UPPER-EXTREMITY PERIPHERAL-NERVE INJURIES WITH EPTFE CONDUITS", Journal of reconstructive microsurgery, 14(4), 1998, pp. 227-232

Abstract

This reported investigation was designed to determine the role of a new synthetic conduit-expanded polytetrafluoroethylene (ePTFE) tube-in clinical repair of median and ulnar nerves in the upper extremities. The main goals of this study were: to determine the effectiveness of the ePTFE conduit in clinical nerve reconstruction; to evaluate the potential of this technique in reconstruction of various nerve gaps (1.5 to 6 cm); and to analyze the results of repair with the ePTFE tube regarding different mechanisms of injury. Forty-three patients were evaluated. They had upper-extremity peripheral-nerve injuries (21 injuries to the median nerve, and 22 ulnar nerve injuries) located at the various levels of the upper extremities. All surgical procedures described in the study were secondary reconstructions, and the average delay frominjury to repair was 4.2 months. With regard to the nerve-gap lengths, patients were categorized in two groups. Group 1 (gaps from 1.5 to 4cm) included 28 patients (17 median nerve injuries and 11 ulnar nerveinjuries), and Group 2 (gaps from 4.1 to 6 cm) comprised 15 patients (4 median nerve injuries and 11 ulnar nerve injuries). Results showed that 78.6 percent of patients from Group 1 demonstrated functional motor and sensory recovery, while reconstruction of only 13.3 percent of peripheral nerves from Group 2 resulted in useful reinnervation. According to published results, ePTFE conduit is a reliable and successful surgical procedure for nerve repair in reconstruction of nerve gaps upto 4 cm between the ends of median and ulnar nerves in various levelsof the upper extremity. Because of its properties, ePTFE conduit has the advantages of promoting better nerve regeneration, compared to other synthetic tubes, especially in reconstruction of proximal nerve injuries, larger nerve gaps, and in cases with unfavorable mechanisms of nerve injury.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/12/20 alle ore 20:00:48