2015, Number 3
<< Back
Rev Esp Med Quir 2015; 20 (3)
Secondary repair of median nerve with autologous graft of sural nerve. Case report
Padilla-Reta FJ, Mendoza-Macías F, Villarreal-Salgado JL, Acosta-López JR
Language: Spanish
References: 10
Page: 328-331
PDF size: 446.03 Kb.
ABSTRACT
Peripheral nerve injuries are an important condition given economic
losses related to recovery time, which may even result in permanent
disability. There fore, is of great interest to know the surgical repair
options and significant clinical data for postoperative follow-up. The
objective was to report the effectiveness of using autologous sural nerve
graft for secondary repair of the median nerve. The procedure was performed
in one patient in the 4th decade of life, with clinical evidence
of peripheral nerve injury after 20 days. The repair was performed with
autologous sural nerve graft with epineural technique, later evolving with
acceptable recovery based on the chart of the nerve injury committee,
with follow up at 6 months. The use of autologous sural nerve graft to
correct the secondary median nerve injury proved to be successful in
this type of patient.
REFERENCES
Waldram M. Peripheral nerve injuries, Trauma 2003;5:79- 96.
Liao IC, Wan H, Qi S, et al. Preclinical evaluations of acellular biological conduits for peripheral nerve regeneration. J Tissue Eng 2013;4:1-10.
Daoutis NK, Gerostathopoulos NE, Efstathopoulos DG, Misitizis DP, Bouchlis GN, and Anagnostou SK. Microsurgical reconstruction of large nerve defects using autologous nerve grafts, Microsurgery 1994;15(7):502–505.
Trumbleand TE, McCallister WV. Repair ofperipheral nerve defects in the upper extremity. Hand Clinics 2000;16(1):37–52.
Sunderland S. A classification of peripheral nerve injuries producinglossof function. Brain 1951;74:491-51.
Brooks DN, Weber RV, Chao J, et al. Processed nerve allografts for peripheral nerve reconstruction: A multicenter study of utilization andoutcomes in sensory, mixed, and motor nerve reconstructions. Microsurgery. Publicado en línea Noviembre, 2011
Gulzar H.S, Altaf FS. Bilal Nerve injuries at wrist: results of delayed primary repair. MC 2012;18(4):25-27.
Zarezadeh A, Khosrawi S, Nazem K. Clinical and Electrodiagnostic Outcome after Primary Versus Secondary Nerve Repair in Median and Ulnar Nerves Damage During 18 Months Follow-up, Journal of Isfahan Medical School 2011;29(141).
Carlstedt T and Birch R. Management of acute peripheral nerve injuries. En: Youmans Neurological Surgery, M. Kliot and R. H. Winn, Eds., pp. 3967–3988, Saunders, New York, NY, USA, 2004.
Myckatyn TM, Mackinnon SE. Microsurgical Repair Of Peripheral Nerves And Nerve Grafts, Grabb And Smith’s Plastic Surgery, Sixth Edition 2007.