Posttraumatic neuroma of the radial nerve treated with an autogenous epineural conduit technique. A case report

Microsurgery
I A IgnatiadisN E Gerostathopoulos

Abstract

We present the outcome of the first clinical application of a new technique using an epineural flap to bridge a short nerve defect. A 28-year-old male had suffered a radial nerve laceration at the lower third of the arm, proximal to the brachioradialis branch, 3 weeks before surgery. During surgery, a neuroma-in-continuity was excised preserving the epineural sleeve. Two longitudinal epineural flaps were created, one from the proximal and one from the distal nerve stump and used to bridge a 1-cm-long nerve defect. Each epineurium flap was sutured to the intact epineurium of the other side and additionally to each other. An electromagnetic nerve stimulator was used to enhance the nerve regeneration process. Nerve regeneration was followed up for 17 months with excellent functional results.

References

Sep 16, 2000·International Orthopaedics·N Nicoli AldiniR Giardino
Feb 15, 2001·The Journal of Hand Surgery·S YoshiiT Nakamura
Feb 28, 2002·Annals of Plastic Surgery·Maria SiemionowEarl Browne
Oct 9, 2002·Annals of Plastic Surgery·Cihangir TetikMaria Siemionow
Sep 18, 2007·Microsurgery·Nicholas DonoghoeA Lee Dellon
Nov 8, 2007·Acta Neurochirurgica. Supplement·I A IgnatiadisP N Soucacos

❮ Previous
Next ❯

Citations

Dec 19, 2013·Trauma Monthly·Adel EbrahimpourSalim Khani

❮ Previous
Next ❯

Related Concepts

Related Feeds

Allogenic & Autologous Therapies

Allogenic therapies are generated in large batches from unrelated donor tissues such as bone marrow. In contrast, autologous therapies are manufactures as a single lot from the patient being treated. Here is the latest research on allogenic and autologous therapies.