Department of Orthopaedic Surgery, University of Minnesota, Hennepin County Medical Center, 701 Park Avenue, Minneapolis, MN 55415, United States.
Department of Orthopaedic Surgery, University of Southern California, Keck School of Medicine, 1520 San Pablo St. Suite 2000, Los Angeles, CA 90033, United States.
Injury. 2019 Dec;50 Suppl 5:S64-S67. doi: 10.1016/j.injury.2019.10.051. Epub 2019 Oct 21.
A segmental nerve defect from trauma results in significant loss of function of the extremity, and rarely occurs in isolation. Autografting of the nerve defect is the current gold standard.
A review of the recent literature regarding peripheral nerve defects after trauma treated with autograft.
Identification of the zone of nerve injury is difficult and appropriate resection is critical for good outcomes. Meaningful recovery is more likely with application of excellent technique. Many of the factors affecting outcomes are not modifiable.
Nerve grafting for segmental nerve injuries continues to be an essential and appropriate treatment.
创伤导致的节段性神经缺损会导致肢体功能显著丧失，且很少单独发生。神经缺损的自体移植是目前的金标准。
对近期关于创伤后自体移植治疗周围神经缺损的文献进行回顾。
神经损伤区域的识别较为困难，适当的切除对良好的结果至关重要。应用优秀的技术更有可能获得有意义的恢复。许多影响结果的因素是不可改变的。
节段性神经损伤的神经移植仍然是一种必要且合适的治疗方法。
