Taras John S, Jacoby Sidney M
Department of Orthopaedic Surgery, Thomas Jefferson University, The Philadelphia Hand Center, PC, Philadelphia, PA 19107, USA.
Tech Hand Up Extrem Surg. 2008 Jun;12(2):100-6. doi: 10.1097/BTH.0b013e31815e6334.
Peripheral nerve lesions are relatively common injuries encountered by hand surgeons. These injuries are notorious for causing significant and potentially long-standing impairment to hand function. Numerous surgical techniques with varying degrees of success have been described to treat this injury. The evolution of peripheral nerve repair has led to the development of the nerve conduit, a surgical technique that functionally bridges the gap between transected nerves. We discuss a brief history and evolution of nerve conduits and offer our preferred technique for peripheral nerve repair with a collagen nerve conduit. In addition, we offer case studies and postoperative rehabilitation goals and present early results associated with this type of repair.
周围神经损伤是手外科医生较为常见的损伤。这些损伤因对手部功能造成严重且可能长期的损害而声名狼藉。为治疗这种损伤，人们描述了许多成功率各异的手术技术。周围神经修复技术的发展催生了神经导管，这是一种在功能上连接横断神经两端间隙的手术技术。我们将讨论神经导管的简要历史和发展，并介绍我们使用胶原神经导管进行周围神经修复的首选技术。此外，我们还提供病例研究、术后康复目标，并展示这种修复方式的早期效果。
