Digital neurorrhaphy after the age of 60 years

Journal of Reconstructive Microsurgery
K A SegalmanL Theisen

Abstract

Fifteen patients over the age of 60 years (average age: 65 years), with 19 digital nerve lacerations, were evaluated more than 1 year after injury. Two-point discrimination, Semmes-Weinstein evaluation, and subjective return of sensibility were examined by a certified hand therapist before and after local anesthetic block of the uninjured digital nerve. Sixty-three percent of the patients regained moving two-point discrimination less than 15 mm; 100 percent regained Semmes-Weinstein values of less than 4.56; and 84 percent of the patients subjectively noted greater than half of their normal sensation. Crossover innervation was a factor in four of 14 repairs. Based on the data, useful sensation can be regained by repairing a digital nerve in the majority of patients older than 60 years of age.

Citations

Aug 18, 2012·Hand : Official Journal of the American Association for Hand Surgery·Joline F MermansRene R W J Van der Hulst
Oct 31, 2014·The Journal of Hand Surgery, European Volume·P R ThomasK R Means
Mar 30, 2018·Annals of Plastic Surgery·Jennifer S KimMitchel Seruya
Oct 17, 2018·Plastic and Reconstructive Surgery·Joshua A GillisAlexander Y Shin
Mar 16, 2019·BMJ Open·Rebecca L E DunlopAbhilash Jain
Apr 10, 2021·Annals of Plastic Surgery·Brendan J MacKayIvica Ducic

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