Isaacs Jonathan
Division of Hand Surgery, Department of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, VA, USA.
J Hand Surg Am. 2010 Mar;35(3):491-7; quiz 498. doi: 10.1016/j.jhsa.2009.12.009. Epub 2010 Feb 6.
Although clinical outcomes of peripheral nerve injuries are often suboptimal, an adherence to well-established basic principles of evaluation and repair can optimize results of even the most complex injuries. Proper assessment of injury patterns both preoperatively and intraoperatively can guide treatment, and multiple repair techniques including strategies for overcoming both small and large gaps offer different advantages and disadvantages. New technologies and ideas address some unsolved problems, but more experience and research is necessary to elucidate fully their roles in the treatment algorithm.
尽管周围神经损伤的临床结果往往不尽人意,但坚持公认的评估和修复基本原则,即使是最复杂的损伤,也能优化治疗效果。术前和术中对损伤模式进行正确评估可指导治疗,多种修复技术,包括克服小间隙和大间隙的策略,各有优缺点。新技术和理念解决了一些未解决的问题,但要充分阐明它们在治疗方案中的作用,还需要更多的经验和研究。