Peripheral nerve repair in the hand with and without motor sensory differentiation.
To investigate the value of motor sensory differentiated nerve repair, we examined a group of 9 patients with motor sensory differentiated nerve repair and a group of 13 patients without motor sensory differentiated nerve repair. The clinical and electroneurographic findings were compared. For the clinical examination, Millesi's scoring system was used. The hand function after motor sensory differentiated median nerve repair was 72% +/- 16% compared with 57% +/- 14% without motor sensory differentiation. The hand function after motor sensory differentiated median and ulnar nerve repair was 53% +/- 12% compared with 43% +/- 24% without motor sensory differentiation. After ulnar nerve repair the achieved values for hand function were high even without motor sensory differentiation. Our results indicate that intraoperative motor sensory differentiation of injured nerves is helpful to reestablish particularly the sensory function in median nerve injuries.
Deutinger
M
M
Second Department of Plastic Surgery, University of Vienna, Austria.
Girsch
W
W
Burggasser
G
G
Windisch
A
A
Joshi
D
D
Mayr
N
N
Freilinger
G
G
D000200:Action Potentials; D000328:Adult; D005500:Follow-Up Studies; D006225:Hand / Q000294:innervation*; D006801:Humans; D008475:Median Nerve / Q000293:injuries / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D009046:Motor Neurons / Q000502:physiology*; D009475:Neurons, Afferent / Q000502:physiology*; D012677:Sensation; D014459:Ulnar Nerve / Q000293:injuries / Q000503:physiopathology / Q000601:surgery*; D014947:Wounds and Injuries / Q000503:physiopathology / Q000601:surgery