Safa Bauback, Buncke Gregory
The Buncke Clinic, 45 Castro Street #121, San Francisco, CA 94114, USA.
The Buncke Clinic, 45 Castro Street #121, San Francisco, CA 94114, USA.
Hand Clin. 2016 May;32(2):127-40. doi: 10.1016/j.hcl.2015.12.012.
Manufactured conduits and allografts are viable alternatives to direct suture repair and nerve autograft. Manufactured tubes should have gaps less than 10 mm, and ideally should be considered as an aid to the coaptation. Processed nerve allograft has utility as a substitute for either conduit or autograft in sensory nerve repairs. There is also a growing body of evidence supporting their utility in major peripheral nerve repairs, gap repairs up to 70 mm in length, as an alternative source of tissue to bolster the diameter of a cable graft, and for the management of neuromas in non-reconstructable injuries.
人工制造的导管和同种异体移植物是直接缝合修复和神经自体移植的可行替代方案。制造的导管间隙应小于10毫米，理想情况下应被视为促进吻合的辅助手段。经过处理的神经同种异体移植物在感觉神经修复中可替代导管或自体移植物。也有越来越多的证据支持它们在主要周围神经修复、长达70毫米的间隙修复、作为增加电缆移植物直径的替代组织来源以及处理不可重建损伤中的神经瘤方面的效用。
