PMID: 11901388Mar 20, 2002Paper

Assessment of nerve graft donor sites used for reconstruction of traumatic digital nerve defects

The Journal of Hand Surgery
James P HigginsGreg S Orlando

Abstract

Several donor nerve graft sites commonly are used when repairing segmental defects in sensory nerves distal to the wrist. The cross-sectional area and number of fascicles of donor nerves and specific digital nerve segments were investigated to provide guidelines for selection of nerve graft harvest sites according to defects encountered. Nerve segments were harvested from 10 fresh cadavers (20 upper extremities). Five sites of nerve graft were harvested: lateral and medial antebrachial cutaneous nerves (LABCN, MABCN), posterior and anterior interosseous nerves (PIN, AIN), and sural nerves. Four sites of typical segmental nerve defects were harvested in a zone protocol: common digital nerve (zone 4), proper digital nerve (zone 3), digital nerve distal to main dorsal branch at the metacarpophalangeal joint (zone 2), and digital nerve distal to trifurcation at fingertip (zone 1). Sural nerve is the most anatomically similar nerve graft for defects in zone 4 by cross-sectional area and number of fascicles. Lateral antebrachial cutaneous nerve is most appropriate for zone 2 and 3 injuries by both criteria. Fingertip grafts for zone 1 injuries displayed cross-sectional area similarity to PIN, AIN, and MABCN. With regard to number of ...Continue Reading

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Citations

Apr 28, 2006·Plastic and Reconstructive Surgery·Fabrizio SchonauerGuido Molea
Oct 5, 2010·Plastic and Reconstructive Surgery·Todd A Richards, Catherine M Curtin
Oct 26, 2012·Plastic and Reconstructive Surgery·Chao ChenXu Zhang
Mar 29, 2013·Archives of Orthopaedic and Trauma Surgery·F StangJ van Schoonhoven
Mar 15, 2015·Hand : Official Journal of the American Association for Hand Surgery·Louis H PopplerSusan E Mackinnon
Nov 9, 2017·The Open Orthopaedics Journal·Mehmet Bekir UnalEren Cansü
Jun 3, 2020·Medicine·Byung Chan LeeDuk Hyun Sung
Sep 8, 2010·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·S Chakravarthy MarxC Anitha Marx
Apr 15, 2014·Journal of Neurosurgery·S Shelby BurksAllan D Levi
Jun 30, 2005·Annals of Plastic Surgery·Matthew S KilgoPeter G Cordeiro
Oct 14, 2010·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Wachara WongkerdsookVilai Chentanez
Mar 29, 2005·Plastic and Reconstructive Surgery·M TenenhausH O Rennekampff
May 3, 2019·Plastic and Reconstructive Surgery. Global Open·Ricardo OrtizKyle R Eberlin
Jul 9, 2016·Hand : Official Journal of the American Association for Hand Surgery·Michael SosinRamon A DeJesus
Oct 8, 2020·Journal of Orthopaedic Surgery and Research·Hamid NamaziFatemeh Dehghani Nazhvani
Feb 16, 2021·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·David JannMaurizio Calcagni
Nov 6, 2021·Hand : Official Journal of the American Association for Hand Surgery·Tiffanie-Marie Borg

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