Emergency management of traumatic collateral palmar digital nerve defect inferior to 30 mm by venous grafting. Report of 12 clinical cases.
BACKGROUND
When traumatic collateral palmar digital nerve defect occurs, emergency venous grafting is an alternative to the two-step nervous grafting procedure.


METHODS
During the course of a monocentric retrospective study, 12 cases of emergency venous grafting were reviewed by a single independent examiner 11 months, at least, post-intervention. Clinical and functional evaluation was carried out, together with a self-assessment of the results by the patient. Data were compacted using a filtering method and the final result was considered in terms of "good" or "bad".


RESULTS
Good result was observed in ten cases out of 12. Bad results were associated with poor sensory recovery in the two other cases. In one of these, the bad result was also related to severe symptoms in cold conditions and a troublesome hyperesthesia.


CONCLUSIONS
Through a review of the literature, we justify the emergency treatment of nerve defects of the collateral palmar digital nerves with venous grafting.
Department of Orthopaedics, Traumatology, Plastic and Reconstructive Surgery, and Hand Management, EA 4268 Innovation, Imaging, Engineering and Health Intervention I4S-IFR 133, INSERM Innovation and Surgical Technique Centre, CHU Jean-Minjoz, University of Franche-Comté, Besançon, France. christophe.laveaux@wanadoo.fr
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C
Laveaux
J
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Pauchot
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L
Obert
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Choserot
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Tropet
D000293:Adolescent; D000328:Adult; D000368:Aged; D004630:Emergencies; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D005385:Fingers / Q000098:blood supply / Q000294:innervation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods; D020127:Recovery of Function; D012189:Retrospective Studies; D018570:Risk Assessment; D013524:Surgical Flaps / Q000098:blood supply*; D016896:Treatment Outcome; D014680:Veins / Q000637:transplantation*