[Repair of a severed nerve with denatured muscle graft--preliminary results of a new surgical technic].
In Neurosurgical Clinic of Military Medical Academy prospective study about the use of denatured muscle graft in nerve repair is in progress, based on numerous experimental and sporadic clinical literature data. The first, experimental part of the investigation is directed to operative technique details and also to find out the manner and duration of muscle denaturation which provide ideal conditions for regenerating axons sprouting. It is concluded that greater pectoral muscle have to be muscle graft donor for nerve defects shorter than 6 cm, and sartorius muscle for those longer than 6 cm. Denaturation for 30 seconds in liquid nitrogen and after that in distilled water for 3 minutes results in micromorphological status in muscle graft which is optimal for axonal regeneration. In the second, clinical part of the work reparations of missile neurotmesis of radial nerve with denatured muscle grafts are performed. Preliminary results 9 months after operation are quite comparable with results after sural nerve graft reparation.
Roganović
Z
Z
Vojnomedicinska akademija, Klinika za neurohirurgiju, Institut za medicinska istrazivanja, Beograd.
Savić
M
M
Ilić
S
S
Petković
S
S
Antić
B
B
Dujić
A
A
D000328:Adult; D005121:Extremities / Q000293:injuries* / Q000294:innervation / Q000601:surgery; D006801:Humans; D018482:Muscle, Skeletal / Q000637:transplantation*; D009416:Nerve Regeneration; D011826:Radial Nerve / Q000293:injuries / Q000601:surgery*; D013497:Sural Nerve / Q000293:injuries / Q000601:surgery*; D014857:Warfare; D014948:Wounds, Gunshot / Q000601:surgery*
Reparacija neurotmeza denaturisanim misićnim graftom--preliminarni rezultati nove operativne tehnike.