Long-term results of transplantations to repair median, ulnar, and radial nerve lesions by a microsurgical interfascicular autogenous cable graft technique |
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Authors: | R. Singh M.D. Ph.D. K. Mechelse M.D. Ph.D. W. C. J. Hop M.Sc. R. Braakman M.D. Ph.D. |
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Affiliation: | a Department of Neurosurgery and Department of Clinical Neurophysiology, University Hospital Rotterdam-Dijkzigt, Rotterdam, The Netherlands b Department of Epidemiology and Biostatistics, Erasmus University, Rotterdam, The Netherlands |
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Abstract: | A comprehensive analysis of 187 patients (78 median, 86 ulnar, and 23 radial nerve lesions) treated by an interfascicular autogenous nerve grafting technique is presented. After a follow-up of at least 18 months good motor recovery was achieved in 72% of median nerve lesions, 77% of ulnar nerve lesions, and 57% of radial nerve lesions. Good functional sensory recovery was found in 36% of median, 45% of ulnar, and 48% of radial nerve lesions. It appears by multivariate analysis that the results obtained generally were better in younger patients, in patients with a shorter preoperative delay, and in cases with a shorter transplant. |
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Keywords: | Peripheral nerve Interfascicular nerve grafting Autologous transplantation Median nerve, Ulnar nerve Radial nerve |
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