REPAIR OF DIGITAL NERVE DEFECT WITH AUTOGENOUS VEIN GRAFT DURING FLEXOR TENDON SURGERY IN ZONE-2

被引:74
作者
TANG, JB
GU, YQ
SONG, YS
机构
[1] Hand Surgery Unit, Department of Orthopaedics, Affiliated Hospital, Nantong, Jiangsu
关键词
D O I
10.1016/0266-7681(93)90144-5
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Autogenous vein graft was used to fill 18 digital nerve defects between 0.5 to 5.8 cm in length during flexor tendon surgery in zone 2. The vein was taken from the forearm and reversed to bridge the digital nerve. For nerves with defects over 2.0 cm, normal nerve slices were inserted inside vein conduits. Recovery of sensibility was evaluated by von Frey test, pin-prick detection, localization of stimulus, moving two-point discrimination and sweating on the finger pulp. Follow-up revealed excellent recovery in two digital nerves, good in nine, fair in five and poor in two. The results suggest that vein graft provides a simple and practical method to reconstruct a digital nerve defect during tendon repair in zone 2.
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页码:449 / 453
页数:5
相关论文
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