title: Resistance of primary microsurgical repair of palmar digital nerves to finger mobilization: A cadaver study.
abstract: The aim of this study was to assess the resistance of microsurgically repaired proper palmar digital nerves (PPDN) to mobilization. Thirty-nine PPDN from fresh forearms cadavers were transected and then sutured using 10/0 nylon. After skin closure, each finger was forcefully flexed and extended 10 times. Out of the 39 repaired nerves, two were elongated and four were ruptured; this amounts to a 15.38% complication rate. We recommend immobilization of nerve repairs, although this contradicts most recent studies.
authors: Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France.
authors: S
authors: S
authors: Salazar Botero
authors: Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France.
authors: J J
authors: JJ
authors: Hidalgo Diaz
authors: Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France.
authors: E
authors: E
authors: Pire
authors: Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France.
authors: S
authors: S
authors: Honecker
authors: Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France.
authors: A
authors: A
authors: Pereira
authors: Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France.
authors: V
authors: V
authors: Matter-Parrat
authors: Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France. Electronic address: Philippe.liverneaux@chru-strasbourg.fr.
authors: P A
authors: PA
authors: Liverneaux
mesh_terms: D002102:Cadaver; D005385:Fingers / Q000294:innervation*; D006801:Humans; D008866:Microsurgery; D011183:Postoperative Complications / Q000209:etiology*; D011826:Radial Nerve / Q000293:injuries / Q000601:surgery*; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures; D012421:Rupture / Q000209:etiology; D017211:Treatment Failure; D014459:Ulnar Nerve / Q000293:injuries / Q000601:surgery*
keywords: Digital nerve; Immobilisation; Immobilization; Microchirurgie; Microsurgery; Nerf digital