Emergency management of traumatic collateral palmar digital nerve defect inferior to 30mm by venous grafting. Report on 12 clinical cases

Laveaux, C.; Pauchot, J.; Obert, L.; Choserot, V.; Tropet, Y.

doi:10.1016/j.main.2010.09.015

Cited by 4 publications

(3 citation statements)

References 16 publications

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“…There were 29 documents included in the SWMF data set [ 9 , 16 , 18 – 20 , 22 , 23 , 25 , 27 – 30 , 36 , 45 – 47 , 49 , 52 , 53 , 64 – 71 , 73 , 76 , 86 ]. The highest excellent and good rate was 91% (95% CI 0.80, 0.99) in the autologous nerve graft group.…”

Section: Resultsmentioning

confidence: 99%

“…The results of the pooled analysis of complications are shown that there were 12 articles of the literature reporting neuroma [ 21 , 29 , 32 , 38 , 44 , 47 , 56 , 57 , 62 – 64 , 68 ], and 14 cases can be counted (artificial conduit: 2 articles, 3 cases; autograft repair: 7 articles, 7 cases; and nerve sutures: 3 articles, 4 cases); 13 publications reporting cold stimulation [ 27 , 29 , 30 , 32 , 37 , 38 , 49 , 58 , 63 , 67 – 70 ], and 50 cases were counted (autograft repair: 10 articles, 47 cases; nerve sutures: 3 articles, 3 cases); 17 papers reporting paresthesia [ 1 , 9 , 21 , 27 , 29 , 30 , 32 , 33 , 38 , 44 , 49 , 62 , 63 , 65 , 67 , 71 , 76 ], and 15 cases were counted (artificial conduit: 3 articles, 1 case; autograft repair:11 articles,14 cases; and nerve sutures: 3 articles); 6 articles reporting postoperative infections [ 20 , 21 , 40 , 45 , 53 , 69 ], and 10 cases were counted (artificial conduit: 3 articles, 5 cases; nerve allograft: 2 articles, 4 cases; autograft repair: 1 articles, 1 case); 13 articles reported pain [ 20 , 21 , 23 , 29 , 37 – 39 , 49 , 50 , 53 , 58 , 67 , 70 ], and 23 cases were...…”

Section: Resultsmentioning

confidence: 99%

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Treatment options for digital nerve injury: a systematic review and meta-analysis

Zhang,

Hou,

Zhang

et al. 2023

J Orthop Surg Res

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Background Surgical treatment of finger nerve injury is common for hand trauma. However, there are various surgical options with different functional outcomes. The aims of this study are to compare the outcomes of various finger nerve surgeries and to identify factors associated with the postsurgical outcomes via a systematic review and meta-analysis. Methods The literature related to digital nerve repairs were retrieved comprehensively by searching the online databases of PubMed from January 1, 1965, to August 31, 2021. Data extraction, assessment of bias risk and the quality evaluation were then performed. Meta-analysis was performed using the postoperative static 2-point discrimination (S2PD) value, moving 2-point discrimination (M2PD) value, and Semmes–Weinstein monofilament testing (SWMF) good rate, modified Highet classification of nerve recovery good rate. Statistical analysis was performed using the R (V.3.6.3) software. The random effects model was used for the analysis. A systematic review was also performed on the other influencing factors especially the type of injury and postoperative complications of digital nerve repair. Results Sixty-six studies with 2446 cases were included in this study. The polyglycolic acid conduit group has the best S2PD value (6.71 mm), while the neurorrhaphy group has the best M2PD value (4.91 mm). End-to-side coaptation has the highest modified Highet’s scoring (98%), and autologous nerve graft has the highest SWMF (91%). Age, the size of the gap, and the type of injury were factors that may affect recovery. The type of injury has an impact on the postoperative outcome of neurorrhaphy. Complications reported in the studies were mainly neuroma, cold sensitivity, paresthesia, postoperative infection, and pain. Conclusion Our study demonstrated that the results of surgical treatment of digital nerve injury are generally satisfactory; however, no nerve repair method has absolute advantages. When choosing a surgical approach to repair finger nerve injury, we must comprehensively consider various factors, especially the gap size of the nerve defect, and postoperative complications. Type of study/level of evidence Therapeutic IV.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Treatment options for digital nerve injury: a systematic review and meta-analysis

Zhang,

Hou,

Zhang

et al. 2023

J Orthop Surg Res

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“…98 A time to repair of <15 days has been associated with significantly improved sensory outcomes 99 (Table 9). 32,97,100,101,[103][104][105][106][107][108][109][110][111][112][113][114][115][116][117][118][119][121][122][123] Another study including 254 digital nerve repairs reported significantly improved outcomes in repairs performed within 3 months of injury. 124…”

Section: Digital Nervesmentioning

confidence: 99%

Evidence-Based Approach to Timing of Nerve Surgery

et al. 2021

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Events causing acute stress to the health care system, such as the COVID-19 pandemic, place clinical decisions under increased scrutiny. The priority and timing of surgical procedures are critically evaluated under these conditions, yet the optimal timing of procedures is a key consideration in any clinical setting. There is currently no single article consolidating a large body of current evidence on timing of nerve surgery. MEDLINE and EMBASE databases were systematically reviewed for clinical data on nerve repair and reconstruction to define the current understanding of timing and other factors affecting outcomes. Special attention was given to sensory, mixed/motor, nerve compression syndromes, and nerve pain. The data presented in this review may assist surgeons in making sound, evidence-based clinical decisions regarding timing of nerve surgery.

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Options for Digital Nerve Gap

Kaushik¹,

Hammert²

2015

The Journal of Hand Surgery

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Emergency management of traumatic collateral palmar digital nerve defect inferior to 30mm by venous grafting. Report on 12 clinical cases

Cited by 4 publications

References 16 publications

Treatment options for digital nerve injury: a systematic review and meta-analysis

Treatment options for digital nerve injury: a systematic review and meta-analysis

Evidence-Based Approach to Timing of Nerve Surgery

Options for Digital Nerve Gap

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