[Repair of peripheral nerve effect by direct suture after elongation of nerve by traction].
To find new technique for repair of peripheral nerve defect, the nerve elongation repair technique was adopted. Two cases with nerve defect were treated by this method. One was a 12 year old male, the defect length of right radial nerve was 7.2 cm at the elbow. The other one was a 28 year old male, the defect length of left ulnar nerve the was 5 cm at elbow. In this method, the nerve was elongated by slow stretch from distal and proximal end of the ruptured nerve. After a few days, the nerve was repaired by direct suture. After operation, the function of nerves were recovered in 119 days and 114 days respectively. Follow-up for 5 years, the function of the effected limbs were recovered to the normal side. It was concluded that: (1) the peripheral never can be elongated by slow stretch; (2) to stretch the nerve end in a rubber tube can prevent adhesion and connective tissue blocking; (3) strength and supporting point of stretching should be designed carefully.
Wang
S
S
Hainan People's Hospital, Haikou, P.R. China.
Wang
H
H
Chen
J
J
D000328:Adult; D002648:Child; D006801:Humans; D006810:Humeral Fractures / Q000150:complications / Q000601:surgery; D008297:Male; D011826:Radial Nerve / Q000293:injuries / Q000601:surgery*; D013536:Suture Techniques; D014143:Traction; D014458:Ulna Fractures / Q000150:complications / Q000601:surgery; D014459:Ulnar Nerve / Q000293:injuries / Q000601:surgery*