Microsurgical Anastomosis of Median and Ulnar Nerve by Sural Nerve Grafting

Talha, Khandaker Abu; Rob, Chowdhury Foyzur; Selina, Farhana; Pavel, MH Khan; Rahman, Naziur

doi:10.51200/bjms.v14i3.2145

Cited by 2 publications

(4 citation statements)

References 9 publications

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“…however, there is no difference in the results between fibrin glue and sutures; both have good outcomes. 1 Ulnar nerve injuries can result in poor hand functions which require multiple surgeries with demanding technique and high cost. Prolonged period of sickness and subsequent functional loss can occur even with proper treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Touch and temperature modules of sensations of the patient's right hand started appearing and all lateral four fingers' power improved to 4/5 two months post-surgery. 1,2 Prasetyo et al 8 performed a median and ulnar nerve repair using sural nerve graft in a patient diagnosed as total lesion of the right median and ulnar nerves, and partial lesion of the right radial nerve, and stated that the sural nerve graft was a great choice for peripheral nerve injuries with more benefits. However, prognosis depends on how early the treatment performed and how severe the lesion was.…”

Section: Discussionmentioning

confidence: 99%

“…Two of these tests are electromyography and nerve conduction velocity. 1 The nerve graft acts to provide a source of empty endoneurial tubes through which the regenerating axons can be directed. Many conditions must be met for a nerve to be considered as a potential graft.…”

Section: Introductionmentioning

confidence: 99%

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Median Nerve Repair Using Sural Nerve Grafting: A Case Report

Prasetyo,

Oley,

Tjungkagi

et al. 2023

eCl

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Peripheral nerve injuries (PNIs) have increased to nearly 2.8% of all trauma cases. It often occurs in the upper extremities, such as the median nerve. EMG can be used to confirm a PNI diagnosis. When continuity defects are present in the injured nerve, a nerve graft procedure may be indicated. The most common donor nerve for repair is the sural nerve. Different surgical options are available for the repair of PNI. We presented a 39-year-old woman whose left hand was cramping and did not fully clench. On physical examination, there was an irregular scar on the left arm 1/3 upper region. Sensory deficits were found in the distribution areas of the median nerve, from digiti 1 to 3 of the manus sinistra. EMG showed the lesion of the left median nerve, an axonetmesis was suspected. The patient was then treated with sural nerve grafting to the median nerve using fibrin glue. The postoperative result revealed improvement in hand function. Grafting sural nerve to median nerve using fibrin glue was rarely performed. According to several studies, nerve grafts usually used 6-0 sized synthetic, monofilament, non-absorbable polypropylene sutures. however, there was no difference in the results between fibrin glue and sutures, both have good outcomes. In conclusion, repairing of the median nerve injury using autograft (sural nerve) and fibrin glue can be an option to restore the function of the hand. Keywords: peripheral nerve injury; median nerve; sural nerve; nerve grafting

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Median Nerve Repair Using Sural Nerve Grafting: A Case Report

Prasetyo,

Oley,

Tjungkagi

et al. 2023

eCl

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“…1 Peripheral nerve injuries (PNI) are about 2.8% of all trauma patients. 3 This condition is not a life-threatening case, but the decreasing quality of life (QoL). 2 The most used method for closing this gap of the nerve is autologous nerve grafting.…”

Section: Introductionmentioning

confidence: 99%

Median and Ulnar Nerve Repair Using Sural Nerve Graft: A Case Report

Prasetyo,

Oley,

Manuhutu

et al. 2023

eCl

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Most peripheral nerve injuries (PNI) are caused by trauma. Upper extrimities are most likely to get injured, and the radial nerve is the most common part in upper extrimites to be affected. There are different surgical options available to repair PNI. We reported a 48-years-old male consulted to the Neurosurgery Department for right upper limb weakness and numbness. He had history of laceration due to iron sheeting in the right arm. There was an irregular scar, weakness on right lower arm with hypesthesia, but no neurovascular distal (NVD) abnormalities were found. Further examination showed claw hand. EMG examination revealed total lesion of the right median and ulnar nerve, partial lesion of the right radial nerve with the lesion at wrist level, possibly neurotmesis according to Seddon Classification. Initial debridement, suturing, and repairing of radial artery and flexor carpi ulnar tendon were performed. The patient was then diagnosed as total lesion of the right median and ulnar nerve, partial lesion of the right radial nerve, post repair right ulnar and radial artery and flexor carpi ulnar tendon repair with the planning of nerve graft with no complication under monitoring. The patient was scheduled for sural nerve graft procedure. Early nerve repair or reconstruction is needed even though it only results in incomplete recovery for months to years. The sural nerve is great either in diameter or length which can be a huge source for the grafting of nerve and revealed good outcomes. Recent study showed incomplete recovery especially seen when the patient could not fully clench his hand and his thumb did not move properly during the movement. In conclusion, sural nerve graft is an appropriate choice for peripheral nerve injuries with more benefits included. Prognosis depends on how early the treatment performed and how severe the lesion is. Keywords: median nerve; sural nerve; peripheral nerve injury; nerve repair; nerve grafting

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Microsurgical Anastomosis of Median and Ulnar Nerve by Sural Nerve Grafting

Cited by 2 publications

References 9 publications

Median Nerve Repair Using Sural Nerve Grafting: A Case Report

Median Nerve Repair Using Sural Nerve Grafting: A Case Report

Median and Ulnar Nerve Repair Using Sural Nerve Graft: A Case Report

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