About: End-to-side neurorrhaphy in brachial plexus reconstruction

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About: End-to-side neurorrhaphy in brachial plexus reconstruction Goto Sponge NotDistinct Permalink

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rdf:type	skos:Concept http://linked.opendata.cz/ontology/domain/vavai/Vysledek
Description	While a number of theoretical and experimental studies dealing with end-to-side neurorrhaphy have been published to date, there is still a considerable lack of clinical trials. Here, we describe our experience with end-to-side neurorrhaphy in axillary and musculocutaneous nerve reconstruction in patients with brachial plexus palsy. Methods: Out of 791 reconstructed nerves in 441 patients with brachial plexus injury treated from 1993 to 2011, we performed 21 axillary and two musculocutaneous nerves sutures onto the median, ulnar and radial nerves from 1999 to 2007. This technique was only performed in patients whose donor nerves, such as thoracodorsal and medial pectoral nerve, which we generally use for repair of axillary and musculocutaneous nerves respectively, were not available. In all patients, a perineurial suture was carried out after the creation of a perineurial window. The overall success rate of end-to-side neurorrhaphy was 43.5%. While reinnervation of the deltoid muscle was successful in 47.6% of patients, reinnervation of the biceps muscle was unsuccessful in both cases. We conclude that end-to-side neurorrhaphy should be performed in axillary nerve reconstruction, but only when commonly used donor nerves are not available. While a number of theoretical and experimental studies dealing with end-to-side neurorrhaphy have been published to date, there is still a considerable lack of clinical trials. Here, we describe our experience with end-to-side neurorrhaphy in axillary and musculocutaneous nerve reconstruction in patients with brachial plexus palsy. Methods: Out of 791 reconstructed nerves in 441 patients with brachial plexus injury treated from 1993 to 2011, we performed 21 axillary and two musculocutaneous nerves sutures onto the median, ulnar and radial nerves from 1999 to 2007. This technique was only performed in patients whose donor nerves, such as thoracodorsal and medial pectoral nerve, which we generally use for repair of axillary and musculocutaneous nerves respectively, were not available. In all patients, a perineurial suture was carried out after the creation of a perineurial window. The overall success rate of end-to-side neurorrhaphy was 43.5%. While reinnervation of the deltoid muscle was successful in 47.6% of patients, reinnervation of the biceps muscle was unsuccessful in both cases. We conclude that end-to-side neurorrhaphy should be performed in axillary nerve reconstruction, but only when commonly used donor nerves are not available. (en)
Title	End-to-side neurorrhaphy in brachial plexus reconstruction End-to-side neurorrhaphy in brachial plexus reconstruction (en)
skos:prefLabel	End-to-side neurorrhaphy in brachial plexus reconstruction End-to-side neurorrhaphy in brachial plexus reconstruction (en)
skos:notation	RIV/00216208:11120/13:43907258!RIV14-MSM-11120___
http://linked.open...avai/predkladatel	3. lékařská fakulta
http://linked.open...avai/riv/aktivita	I
http://linked.open...avai/riv/aktivity	I
http://linked.open...iv/cisloPeriodika	3
http://linked.open...vai/riv/dodaniDat	2014
http://linked.open...aciTvurceVysledku	Haninec, Pavel Kaiser, R. Mencl, L.
http://linked.open.../riv/druhVysledku	J - Článek v odborném periodiku
http://linked.open...iv/duvernostUdaju	S - Úplné a pravdivé údaje nepodléhající ochraně podle zvláštních právních předpisů
http://linked.open...titaPredkladatele	Univerzita Karlova v Praze / 3. lékařská fakulta
http://linked.open...dnocenehoVysledku	72811
http://linked.open...ai/riv/idVysledku	RIV/00216208:11120/13:43907258
http://linked.open...riv/jazykVysledku	eng - angličtina
http://linked.open.../riv/klicovaSlova	axillary nerve; brachial plexus palsy; neurotization; end-to-side neurorrhaphy (en)
http://linked.open.../riv/klicoveSlovo	neurotization brachial plexus palsy axillary nerve end-to-side neurorrhaphy
http://linked.open...odStatuVydavatele	US - Spojené státy americké
http://linked.open...ontrolniKodProRIV	[6B43D3ADFAC9]
http://linked.open...i/riv/nazevZdroje	Journal of Neurosurgery
http://linked.open...in/vavai/riv/obor	FH
http://linked.open...ichTvurcuVysledku	3 (xsd:int)
http://linked.open...cetTvurcuVysledku	3 (xsd:int)
http://linked.open...UplatneniVysledku	2013
http://linked.open...v/svazekPeriodika	119
http://linked.open...iv/tvurceVysledku	Haninec, Pavel Kaiser, Radek Mencl, Libor
http://linked.open...ain/vavai/riv/wos	000323358700019
issn	0022-3085
number of pages	6 (xsd:int)
http://bibframe.org/vocab/doi	10.3171/2013.6.JNS122211
http://localhost/t...ganizacniJednotka	11120

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