STRATEGY AND TIMING OF PERIPHERAL-NERVE SURGERY

被引：20
作者：
BRUNELLI, G
BRUNELLI, F
机构：
[1] Orthopaedic Clinic of the University of Brescia, Brescia
来源：
NEUROSURGICAL REVIEW | 1990年 / 13卷 / 02期
关键词：
Adoption phenomenon; axonal chemotaxis; nerve regeneration; nerve tubulization; strategy of nerve repair;
D O I：
10.1007/BF00383648
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
The authors review the latest theories of peripheral nerve regeneration and repair. They present their research on nerve regeneration including the alterations in the mother cell body, and in the distal part of the axon, and the time required to reach the best production of amino acids for cytoskeleton reconstruction. Other research of particular interest which is presented regards the chemotactic arrangement of motor and sensory axons inside a vein. This research has shown that the axons are able to find their way to the appropriate (sensory or motor) distal endoneural tubes. Adoption phenomena are also presented. The discussion of surgery includes the type (suture, glueing, grafts, tubulization) and the time of surgical repair. Timing and repair strategies are related to the site of the lesion (which can require that a greater or smaller amount of cytoskeleton be reconstructed), the type of the injury, the state of surrounding tissues, the age of the patients, injuries to muscles, tendons, bones, vessels and skin. A scheme of strategy is proposed. © 1990 Walter de Gruyter & Co.
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页码：95 / 102
页数：8
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