Virginia Commonwealth University Medical Center, Richmond, USA.
Hand (N Y). 2022 Nov;17(6):1017-1023. doi: 10.1177/1558944720988076. Epub 2021 Feb 3.
Partial nerve recovery either after expectant observation following an injury in-continuity or after nerve repair is not an uncommon occurrence. Historically, treatment strategies in these situations-late repair, revision repair, or acceptance of a mediocre result-were unsatisfying. The reverse end-to-side, or supercharging, nerve transfer was conceived to offer a more palatable option. Partially validated primarily through small animal research, supercharging has been rapidly translated to clinical practice. Many have extended the indications beyond the original intent, though the final place of this technique in the peripheral nerve surgeon's armamentarium is still yet to be determined.
部分神经在损伤连续性观察后或神经修复后恢复,这种情况并不少见。历史上,这些情况下的治疗策略——晚期修复、修正修复或接受平庸的结果——并不令人满意。相反的端侧,或增强,神经转移的构想提供了一个更可接受的选择。主要通过小动物研究得到部分验证,增强已经迅速转化为临床实践。许多人已经将适应症扩展到最初的意图之外,尽管这种技术在周围神经外科医生的武器库中的最终位置仍有待确定。