End-to-side neurorrhaphy for defects of palmar sensory digital nerves.
Ten traumatic nerve defects at the palm or digit level were treated by end-to-side (ETS) neurorrhaphy. The technique included removal of an epineurial window on the donor nerve and coaptation of the sharply cut distal end of the injured nerve by epineurial stitches under microscopic magnification. At final follow-up, the static two-point discrimination test (2 pd) scored at an average of 9.1 mm (range, 6-12 mm) on the repaired nerve, compared to an average of 4.6 mm (range, 4-6 mm) on the contralateral uninjured control side. Moving 2 pd scored at an average of 7 mm (range, 4-9 mm) on the repaired nerve compared to an average of 2.6 mm (range, 2-4 mm) on the control side. This short series showed that ETS neurorrhaphies are effective and give comparable results with those of nerve grafts or vein conduits.
Voche
P
P
Department of Hand and Upper Extremity Reconstructive Surgery, Clinique La Francilienne, 16 Avenue de l'hôtel de ville, 77340 Pontault-Combault, France. pvoche@libertysurf.fr
Ouattara
D
D
D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical; D002648:Child; D005260:Female; D005383:Finger Injuries / Q000209:etiology / Q000601:surgery; D005385:Fingers / Q000294:innervation / Q000601:surgery; D005500:Follow-Up Studies; D006225:Hand / Q000294:innervation* / Q000601:surgery; D006230:Hand Injuries / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D016067:Nerve Transfer / Q000379:methods*; D059348:Peripheral Nerve Injuries; D010525:Peripheral Nerves / Q000601:surgery