Soldado Francisco, Bertelli Jayme A, Ghizoni Marcos F
Pediatric Hand Surgery and Microsurgery Unit, Hospital Sant Joan de Deu, Universitat de Barcelona, Passeig de Sant Joan de Déu, 2, 08950 Esplugues de Llobregat, Barcelona, Spain.
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Rua Irmã Benwarda, 297, 88025-301-Florianópolis - SC, Brazil; Department of Neurosurgery, Center of Biological and Health Sciences, University of the South of Santa Catarina (Unisul), Avenida José Acácio Moreira, 787, Bairro Dehon, 88704-900 - Tubarão-SC, Brazil.
Hand Clin. 2016 May;32(2):209-17. doi: 10.1016/j.hcl.2015.12.008.
This article describes the clinically significant motor and sensory deficits that follow high median nerve injuries and addresses the indications, limitations, and outcomes of nerve transfers, when striving to overcome the deficits these patients' experiences. Preferred surgical reconstructive strategy using motor and sensory nerve transfers, and surgical techniques used to perform these transfers, are described.
本文描述了高位正中神经损伤后临床上显著的运动和感觉功能障碍,并探讨了为克服这些患者所经历的功能障碍而进行神经移位术的适应证、局限性和结果。文中还描述了使用运动和感觉神经移位术的首选手术重建策略,以及进行这些移位术所采用的手术技术。