Foo Anthony, Martin-Playa Patricia, Sebastin Muttath Sandeep J
Orthopaedic Centre, Raffles Hospital.
Hand and Reconstructive Microsurgery Department, National University Hospital, Singapore.
Tech Hand Up Extrem Surg. 2019 Dec;23(4):152-154. doi: 10.1097/BTH.0000000000000240.
Painful neuromas are not uncommon following nerve injury, and are especially bothersome in the hand, with severe cases resulting in significant disability. Outcomes of neuroma surgery are unpredictable regardless of technique. It is recognized that optimal soft tissue environment influences nerve healing more than the specific nerve graft technique, and it is in this context, we present a novel technique of transferring a posterior interosseous nerve graft along with vascularized synovial and fat tissue based on a branch of the posterior interosseous artery to provide healthy soft tissue for nerve healing of neuroma in continuity about the hand and digits.
疼痛性神经瘤在神经损伤后并不罕见，在手部位尤其令人困扰，严重病例会导致显著残疾。无论采用何种技术，神经瘤手术的结果都难以预测。人们认识到，最佳的软组织环境对神经愈合的影响大于特定的神经移植技术，正是在这种背景下，我们提出了一种新技术，即基于骨间后动脉的一个分支，将骨间后神经移植物与带血管的滑膜和脂肪组织一起转移，以为手部和手指连续性神经瘤的神经愈合提供健康的软组织。
