Use of Vein Conduit and Isolated Nerve Graft in Peripheral Nerve Repair: A Comparative StudyReport as inadecuate




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Plastic Surgery International - Volume 2014 2014, Article ID 587968, 7 pages -

Clinical StudyPost Graduate Department of Burns, Plastic and Reconstructive Surgery, JNMC, AMU, Aligarh, Uttar Pradesh 202002, India

Received 1 June 2014; Accepted 7 October 2014; Published 27 October 2014

Academic Editor: Nicolo Scuderi

Copyright © 2014 Imran Ahmad and Md. Sohaib Akhtar. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aims and Objectives. The aim of this study was to evaluate the effectiveness of vein conduit in nerve repair compared with isolated nerve graft. Materials and Methods. This retrospective study was conducted at author’s centre and included a total of 40 patients. All the patients had nerve defect of more than 3 cm and underwent nerve repair using nerve graft from sural nerve. In 20 cases, vein conduit study group was used whereas no conduit was used in other 20 cases. Patients were followed up for 2 years at the intervals of 3 months. Results. Patients had varying degree of recovery. Sensations reached to all the digits at 1 year in study groups compared to 18 months in control group. At the end of second year, 84% patients of the study group achieved 2-point discrimination of <10 mm compared to 60% only in control group. In terms of motor recovery, 82% patients achieved satisfactory hand function in study group compared to 56% in control group . Conclusions. It was concluded that the use of vein conduit in peripheral nerve repair is more effective method than isolated nerve graft providing good sensory and motor recovery.





Author: Imran Ahmad and Md. Sohaib Akhtar

Source: https://www.hindawi.com/



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