Bookman Jared, Hacquebord Jacques
Bull Hosp Jt Dis (2013). 2021 Mar;79(1):11-16.
Major peripheral nerve injuries are devastating and represent a very challenging clinical problem. Despite many years of advancement in peripheral nerve research, results so far have been fair at best, with only 50% of patients regaining useful function. Advancement of techniques in imaging, better understanding of the physiology of nerve recovery, improved repair and grafting options, and secondary reconstructive techniques, including tendon and nerve transfers, have helped facilitate a degree of more effective treatment. This article presents current concepts regarding the principles of management, expected outcomes, and new advancements in major upper extremity peripheral nerve injuries.
主要的周围神经损伤具有毁灭性，是一个极具挑战性的临床问题。尽管周围神经研究多年来取得了进展，但迄今为止，效果充其量只能说是一般，只有50%的患者恢复了有用的功能。成像技术的进步、对神经恢复生理学的更好理解、改进的修复和移植选择以及包括肌腱和神经移位在内的二期重建技术，都有助于促进一定程度的更有效治疗。本文介绍了有关主要上肢周围神经损伤的管理原则、预期结果和新进展的当前概念。
