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Autologous Muscle-Derived Nerve Wrap for Prevention of Symptomatic Microneuromas in Primary Nerve Repair.
Bruce, William J; Brown, Amanda L; Romanelli, Michael R; Mailey, Brian A.
Afiliación
  • Bruce WJ; Department of Surgery, Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, USA.
  • Brown AL; Department of Surgery, Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, USA.
  • Romanelli MR; Department of Surgery, Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, USA.
  • Mailey BA; Department of Surgery, Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, USA.
Cureus ; 14(2): e22513, 2022 Feb.
Article en En | MEDLINE | ID: mdl-35371726
Regeneration of peripheral nerves after repair is incomplete. Painful microneuromas may form at the site of an appropriately performed primary microsurgical nerve repair leading to a persistent Tinel's sign and hypersensitivity in that location. Here, we describe an autologous option using a free muscle-derived nerve wrap with the intent to capture axonal escape at the site of primary nerve coaptation. We demonstrate this technique on a patient undergoing primary nerve repair of a laceration to the superficial branch of the radial nerve using extensor digitorum communis muscle as a donor graft. This has become our preferred technique over commercially available nerve wraps as the muscle wrap is autologous, not limited by cost, and has the potential to limit microneuroma formation at the coaptation site.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies Idioma: En Revista: Cureus Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies Idioma: En Revista: Cureus Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos