Mackinnon S E, Glickman L T, Dagum A
Division of Plastic Surgery, Washington University, St. Louis, Missouri 63110.
J Reconstr Microsurg. 1992 Sep;8(5):379-83. doi: 10.1055/s-2007-1006722.
A surgical technique for the management of a neuroma in-continuity, in which motor function is preserved and sensory function is reconstructed with nerve grafting, is presented. Tedious and potentially damaging dissection within the neuroma in-continuity is avoided. The functioning motor fascicles are identified proximal and distal to the injury site with electrical nerve stimulation eliciting muscle contraction. These motor fascicles are preserved. The electrically silent and nonfunctioning sensory fascicles are divided proximal and distal to the neuroma and reconstructed with autogenous nerve grafts. These nerve grafts bypass the functioning motor portion of the neuroma in-continuity.
本文介绍了一种治疗连续性神经瘤的外科技术，该技术可保留运动功能，并通过神经移植重建感觉功能。避免了在连续性神经瘤内进行冗长且可能造成损伤的解剖。通过电刺激神经引起肌肉收缩，识别损伤部位近端和远端的功能正常的运动束。保留这些运动束。将连续性神经瘤近端和远端无电活动且无功能的感觉束切断，并用自体神经移植进行重建。这些神经移植绕过连续性神经瘤的功能正常的运动部分。
