Sinis N, Kraus A, Werdin F, Manoli T, Jaminet P, Haerle M, Schaller H-E
Klinik für Hand-, Plastische-, Rekonstruktive und Verbrennungschirurgie, BG-Unfallklinik, Eberhard-Karls-Universität Tübingen, Schnarrenbergstrasse 95, 72076, Tübingen.
Chirurg. 2009 Sep;80(9):875-81; quiz 882. doi: 10.1007/s00104-009-1770-4.
The surgical treatment of peripheral nerve injuries is still a challenging and highly demanding procedure. Past results have been improved upon by different advances in microsurgical techniques and algorithms. Nevertheless, results are not always satisfying, making secondary procedures necessary. Thus, these secondary procedures such as tendon transfers and arthrodesis of different joints must be taken into account during reconstructive planning. This review gives an overview of peripheral nerve reconstruction (nerve grafting, nerve repair) and the pertinent secondary procedures.
周围神经损伤的外科治疗仍然是一项具有挑战性且要求极高的手术。过去的治疗结果已通过显微外科技术和算法的不同进展得到改善。然而,结果并不总是令人满意,这使得二次手术成为必要。因此,在重建规划过程中必须考虑这些二次手术,如肌腱转移和不同关节的关节固定术。本综述概述了周围神经重建(神经移植、神经修复)及相关的二次手术。