title: [Tension relief in nerve sutures].
abstract: In short defects up to 25 mm following injuries of peripheral nerves, a method of suturing is outlined using two PDS-ribbons which are sutured to the epineurium, reducing tension at the site of coaptation. The ribbons are 20 mm long and 1 mm wide. They distribute and reduce the tension at the suture site and permit early mobilisation. They induce a restricted scar on the epineurium, maintaining tension relief. Of 105 nerves sutured with this method results have been obtained in 53 cases with an average follow-up time of at least 12 months. The overall results: Median nerve (N = 28) S3-4 64.5%, M3-5 82%. Ulnar nerve (N = 25) S3-4 77%, M3-5 84.5%. Clean cuts had the best results, secondary sutures (with an average interval of 30 days) were somewhat better than primary sutures.
authors.affiliation: Abteilung für Plastische und Handchirurgie, Berufsgenossenschaftlichen Unfallklinik Frankfurt/Main.
authors.forename: H G
authors.initials: HG
authors.lastname: Haas
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D001132:Arm / Q000294:innervation; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008475:Median Nerve / Q000293:injuries / Q000473:pathology / Q000601:surgery; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D009416:Nerve Regeneration / Q000502:physiology*; D059348:Peripheral Nerve Injuries; D010525:Peripheral Nerves / Q000473:pathology / Q000601:surgery*; D016687:Polydioxanone; D013536:Suture Techniques; D013537:Sutures; D013718:Tensile Strength; D014459:Ulnar Nerve / Q000293:injuries / Q000473:pathology / Q000601:surgery; D014945:Wound Healing / Q000502:physiology
chemical_list: D016687:Polydioxanone
vernacular_title: Spannungsentlastung bei Nervennähten.