Failed peripheral nerve reconstruction with processed nerve allografts in three patients

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Processed nerve allografts for peripheral nerve reconstruction: a multicenter study of utilization and outcomes in sensory, mixed, and motor nerve reconstructions.

PURPOSE As alternatives to autograft become more conventional, clinical outcomes data on their effectiveness in restoring meaningful function is essential. In this study we report on the outcomes from a multicenter study on processed nerve allografts (Avance® Nerve Graft, AxoGen, Inc). PATIENTS AND METHODS Twelve sites with 25 surgeons contributed data from 132 individual nerve injuries. Data...

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Peripheral Nerve Reconstruction with Autologous Grafts

A nerve gap is defined as the distance between two ends of a divided nerve. It is caused not just by the nerve tissue lost due to the trauma, or to the following debridement, but also by the actual retraction of the nerve stumps. The retraction is due to the elastic properties of the nerve fibers. Only small nerve gaps, in which minimal tension is required to contrast the elastic properties of ...

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Three-dimensional Reconstruction of Peripheral Nerve Internal Fascicular Groups

Peripheral nerves are important pathways for receiving afferent sensory impulses and sending out efferent motor instructions, as carried out by sensory nerve fibers and motor nerve fibers. It has remained a great challenge to functionally reconnect nerve internal fiber bundles (or fascicles) in nerve repair. One possible solution may be to establish a 3D nerve fascicle visualization system. Thi...

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Sensory nerve action potentials in patients with peripheral nerve lesions.

In 1949 Dawson and Scott described a method of examining sensory impulses in human peripheral nerves. By their technique, the median or ulnar nerve at the level of the wrist was stimulated electrically using single shocks, and the action potential of the afferent volley recorded through surface electrodes placed over the nerve trunk at a higher level in the arm. The afferent volley contained bo...

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Nanotechnology for peripheral nerve regeneration

Peripheral nerve injuries (PNI) can lead to lifetime loss of function and disfigurement. Different methods such as conventional allograft procedures and using of biological tubes have problems for damaged peripheral nerves reconstruction. Designed scaffolds with natural and synthetic materials are now widely used in the reconstruction of damaged tissues. Utilization of absorbable and non-absorb...

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ژورنال

عنوان ژورنال: Journal of Hand Surgery (European Volume)

سال: 2018

ISSN: 1753-1934,2043-6289

DOI: 10.1177/1753193418817968