Use of Vein Conduit and Isolated Nerve Graft in Peripheral Nerve Repair: A Comparative Study

Aims and Objectives. The aim of this study was to evaluate the effectiveness of vein conduit in nerve repair compared with isolated nerve graft. Materials and Methods. This retrospective study was conducted at author’s centre and included a total of 40 patients. All the patients had nerve defect of more than 3 cm and underwent nerve repair using nerve graft from sural nerve. In 20 cases, vein conduit (study group) was used whereas no conduit was used in other 20 cases. Patients were followed up for 2 years at the intervals of 3 months. Results. Patients had varying degree of recovery. Sensations reached to all the digits at 1 year in study groups compared to 18 months in control group. At the end of second year, 84% patients of the study group achieved 2-point discrimination of <10 mm compared to 60% only in control group. In terms of motor recovery, 82% patients achieved satisfactory hand function in study group compared to 56% in control group (P<.05). Conclusions. It was concluded that the use of vein conduit in peripheral nerve repair is more effective method than isolated nerve graft providing good sensory and motor recovery.

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The effects of sensory re-education on hand function recovery after peripheral nerve repair: A systematic review

Neurorehabilitation ◽

10.3233/nre-201612 ◽

2021 ◽

pp. 1-12

Author(s):

Weili Xia ◽

Zhongfei Bai ◽

Rongxia Dai ◽

Jiaqi Zhang ◽

Jiani Lu ◽

...

Keyword(s):

Systematic Review ◽

Peripheral Nerve ◽

Nerve Repair ◽

Hand Function ◽

Current Evidence ◽

Motor Deficits ◽

Peripheral Nerve Repair ◽

Hand Functions ◽

Function Recovery ◽

Short And Long Term

BACKGROUND: Peripheral nerve injury can result in both sensory and motor deficits, and these impairments can last for a long period after nerve repair. OBJECTIVE: To systematically review the effects of sensory re-education (SR) on facilitating hand function recovery after peripheral nerve repair. METHODS: This systematic review was limited to articles published from 1970 to 20 December 2020. Electronic searching was performed in CINAHL, Embase, PubMed, Web of Science, and Medline databases to include trials investigating the effects of SR training on hand function recovery after peripheral nerve repair and included only those studies with controlled comparisons. RESULTS: Sixteen articles were included in final data synthesis. We found that only four studies could be rated as having good quality and noted obvious methodological limitations in the remaining studies. The current evidence showed that early SR with mirror visual feedback and the combinational use of classic SR and topical temporary anesthetic seemed to have long- and short-term effects, respectively on improving the sensibility and reducing the disabilities of the hand. The evidence to support the effects of conventional classical SR on improving hand functions was not strong. CONCLUSIONS: Further well-designed trials are needed to evaluate the effects of different SR techniques on hand function after nerve repair over short- and long-term periods.

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Greater cortical activation and motor recovery following mirror therapy immediately after peripheral nerve repair of the forearm

Neuroscience ◽

10.1016/j.neuroscience.2021.11.048 ◽

2021 ◽

Author(s):

Yueh-Hsia Chen ◽

Tiing-Yee Siow ◽

Ju-Yu Wang ◽

Shang-Ying Lin ◽

Yuan-Hung Chao

Keyword(s):

Peripheral Nerve ◽

Nerve Repair ◽

Motor Recovery ◽

Cortical Activation ◽

Mirror Therapy ◽

Peripheral Nerve Repair

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Functional motor recovery after peripheral nerve repair with an aligned nanofiber tubular conduit in a rat model

Regenerative Medicine ◽

10.2217/rme.12.87 ◽

2012 ◽

Vol 7 (6) ◽

pp. 799-806 ◽

Cited By ~ 14

Author(s):

Jenny Jin ◽

Michelle Park ◽

Arvind Rengarajan ◽

Qia Zhang ◽

Sonja Limburg ◽

...

Keyword(s):

Peripheral Nerve ◽

Rat Model ◽

Nerve Repair ◽

Motor Recovery ◽

Peripheral Nerve Repair

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Surgical management of the divided nerve

10.1093/med/9780199682874.003.0041 ◽

2021 ◽

pp. 269-275

Author(s):

Duncan A. McGrouther

Keyword(s):

Peripheral Nerve ◽

Surgical Management ◽

Nerve Repair ◽

Nerve Graft ◽

Nerve Injuries ◽

Peripheral Nerve Repair ◽

Direct Repair

This chapter describes the principles of peripheral nerve repair by direct repair or nerve graft with specific discussion of assessment, exposure, and techniques of nerve repair. Notes on specific nerve injuries, neuroma management and outcomes are included.

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Techniques of Peripheral Nerve Repair

Neurosurgery Clinics of North America ◽

10.1016/s1042-3680(18)30759-9 ◽

1991 ◽

Vol 2 (1) ◽

pp. 93-104 ◽

Cited By ~ 20

Author(s):

Mark E. Harris ◽

Suzie C. Tindall

Keyword(s):

Peripheral Nerve ◽

Nerve Repair ◽

Peripheral Nerve Repair

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Faculty Opinions recommendation of Passive transfer of IgG anti-GM1 antibodies impairs peripheral nerve repair.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.4672010.4620060 ◽

2010 ◽

Author(s):

Zhigang He ◽

Kevin Park

Keyword(s):

Peripheral Nerve ◽

Nerve Repair ◽

Passive Transfer ◽

Peripheral Nerve Repair

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Large Extremity Peripheral Nerve Repair

10.21236/ada597944 ◽

2013 ◽

Author(s):

Jonathan M. Winograd

Keyword(s):

Peripheral Nerve ◽

Nerve Repair ◽

Peripheral Nerve Repair

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Role and effectiveness of complex and supervised rehabilitation on overall and hand function in systemic sclerosis patients—one-year follow-up study

Scientific Reports ◽

10.1038/s41598-021-94549-y ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Michał Waszczykowski ◽

Bożena Dziankowska-Bartkowiak ◽

Michał Podgórski ◽

Jarosław Fabiś ◽

Arleta Waszczykowska

Keyword(s):

Systemic Sclerosis ◽

Hand Function ◽

Exercise Program ◽

Rehabilitation Program ◽

Long Term Results ◽

Home Exercise ◽

Control Group ◽

Study Group

AbstractThe aim of this study was to estimate the long-term results of complex and supervised rehabilitation of the hands in systemic sclerosis (SSc) patients. Fifty-one patients were enrolled in this study: 27 patients (study group) were treated with a 4-week complex, supervised rehabilitation protocol. The control group of 24 patients was prescribed a home exercise program alone. Both groups were evaluated at baseline and after 1-, 3-, 6-, and 12-months of follow-up with the Disability of the Arm, Shoulder and Hand Questionnaire (DAHS) as the primary outcome, pain (VAS—visual analog scale), Cochin Hand Function Scale (CHFS), Health Assessment Questionnaire Disability Index (HAQ-DI), Scleroderma-HAQ (SHAQ), range of motion (d-FTP—delta finger to palm, Kapandji finger opposition test) and hand grip and pinch as the secondary outcomes. Only the study group showed significant improvements in the DASH, VAS, CHFS and SHAQ after 1, 3 and 6 months of follow-up (P = 0.0001). Additionally, moderate correlations between the DASH, CHFS and SHAQ (R = 0.7203; R = 0.6788; P = 0.0001) were found. Complex, supervised rehabilitation improves hand and overall function in SSc patients up to 6 months after the treatment but not in the long term. The regular repetition of this rehabilitation program should be recommended every 3–6 months to maintain better hand and overall function.

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