Liodaki Eirini, Kisch Tobias, Mailänder Peter, Stang Felix
Klinik für Plastische Chirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Deutschland.
Unfallchirurgie (Heidelb). 2022 Nov;125(11):892-896. doi: 10.1007/s00113-022-01143-6. Epub 2022 Feb 15.
Peripheral nerve injuries are often encountered in traumatological care. The aim of this manuscript is to provide initial data, experiences and performance reports from Germany in the implantation of acellular human nerve transplants in peripheral sensory nerve defects of the hand and to put these data in the context of a comprehensive review of the literature. Of the patients 4 (7 digital nerves) were examined 6 months postoperatively and 5 patients (6 digital nerves) were examined 1 year after the operation (3 were also at the 6‑month examination). All patients had a clinical improvement after nerve reconstruction (≥ S3 according to the classification of sensory recovery of the Medical Research Council modified by Mackinnon and Dellon). Disadvantages of our clinical study are the small number of patients, the inhomogeneity (primary and secondary nerve reconstruction) and the lack of comparison with other nerve reconstruction methods.
周围神经损伤在创伤治疗中经常遇到。本手稿的目的是提供来自德国的关于脱细胞人神经移植物植入手部周围感觉神经缺损的初步数据、经验和性能报告，并将这些数据置于对文献的全面综述背景下。术后6个月对4例患者（7条指神经）进行了检查，术后1年对5例患者（6条指神经）进行了检查（其中3例患者在术后6个月时也接受了检查）。所有患者在神经重建后临床症状均有改善（根据麦金农和德龙修改的医学研究理事会感觉恢复分类标准，≥S3）。我们临床研究的缺点是患者数量少、存在异质性（一期和二期神经重建）以及缺乏与其他神经重建方法的比较。
