Use of nerve elongator to repair short-distance peripheral nerve defects: a prospective randomized study

Repair techniques for short-distance peripheral nerve defects, including adjacent joint flexion to reduce the distance between the nerve stump defects, "nerve splint" suturing, and nerve sleeve connection, have some disadvantages. Therefore, we designed a repair technique involving intraop...

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Main Authors: Lu Bai, Tian-bing Wang, Xin Wang, Wei-wen Zhang, Ji-hai Xu, Xiao-ming Cai, Dan-ya Zhou, Li-bing Cai, Jia-dong Pan, Min-tao Tian, Hong Chen, Dian-ying Zhang, Zhong-guo Fu, Pei-xun Zhang, Bao-guo Jiang
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Neural Regeneration Research
Subjects:
Online Access:http://www.nrronline.org/article.asp?issn=1673-5374;year=2015;volume=10;issue=1;spage=79;epage=83;aulast=Bai
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author Lu Bai
Tian-bing Wang
Xin Wang
Wei-wen Zhang
Ji-hai Xu
Xiao-ming Cai
Dan-ya Zhou
Li-bing Cai
Jia-dong Pan
Min-tao Tian
Hong Chen
Dian-ying Zhang
Zhong-guo Fu
Pei-xun Zhang
Bao-guo Jiang
author_facet Lu Bai
Tian-bing Wang
Xin Wang
Wei-wen Zhang
Ji-hai Xu
Xiao-ming Cai
Dan-ya Zhou
Li-bing Cai
Jia-dong Pan
Min-tao Tian
Hong Chen
Dian-ying Zhang
Zhong-guo Fu
Pei-xun Zhang
Bao-guo Jiang
author_sort Lu Bai
collection DOAJ
description Repair techniques for short-distance peripheral nerve defects, including adjacent joint flexion to reduce the distance between the nerve stump defects, "nerve splint" suturing, and nerve sleeve connection, have some disadvantages. Therefore, we designed a repair technique involving intraoperative tension-free application of a nerve elongator and obtained good outcomes in the repair of short-distance peripheral nerve defects in a previous animal study. The present study compared the clinical outcomes between the use of this nerve elongator and performance of the conventional method in the repair of short-distance transection injuries in human elbows. The 3-, 6-, and 12-month postoperative follow-up results demonstrated that early neurological function recovery was better in the nerve elongation group than in the conventional group, but no significant difference in long-term neurological function recovery was detected between the two groups. In the nerve elongation group, the nerves were sutured without tension, and the duration of postoperative immobilization of the elbow was decreased. Elbow function rehabilitation was significantly better in the nerve elongation group than in the control group. Moreover, there were no security risks. The results of this study confirm that the use of this nerve elongator for repair of short-distance peripheral nerve defects is safe and effective.
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spelling doaj.art-4e321686d7ff4b27b54d33cf73dfb6022022-12-22T01:56:54ZengWolters Kluwer Medknow PublicationsNeural Regeneration Research1673-53741876-79582015-01-01101798310.4103/1673-5374.150710Use of nerve elongator to repair short-distance peripheral nerve defects: a prospective randomized studyLu BaiTian-bing WangXin WangWei-wen ZhangJi-hai XuXiao-ming CaiDan-ya ZhouLi-bing CaiJia-dong PanMin-tao TianHong ChenDian-ying ZhangZhong-guo FuPei-xun ZhangBao-guo JiangRepair techniques for short-distance peripheral nerve defects, including adjacent joint flexion to reduce the distance between the nerve stump defects, "nerve splint" suturing, and nerve sleeve connection, have some disadvantages. Therefore, we designed a repair technique involving intraoperative tension-free application of a nerve elongator and obtained good outcomes in the repair of short-distance peripheral nerve defects in a previous animal study. The present study compared the clinical outcomes between the use of this nerve elongator and performance of the conventional method in the repair of short-distance transection injuries in human elbows. The 3-, 6-, and 12-month postoperative follow-up results demonstrated that early neurological function recovery was better in the nerve elongation group than in the conventional group, but no significant difference in long-term neurological function recovery was detected between the two groups. In the nerve elongation group, the nerves were sutured without tension, and the duration of postoperative immobilization of the elbow was decreased. Elbow function rehabilitation was significantly better in the nerve elongation group than in the control group. Moreover, there were no security risks. The results of this study confirm that the use of this nerve elongator for repair of short-distance peripheral nerve defects is safe and effective.http://www.nrronline.org/article.asp?issn=1673-5374;year=2015;volume=10;issue=1;spage=79;epage=83;aulast=Bainerve regeneration; peripheral nerve deficiency; nerve elongator; British Medical Research Council scale; neurological function; prognosis; NSFC grants; neural regeneration
spellingShingle Lu Bai
Tian-bing Wang
Xin Wang
Wei-wen Zhang
Ji-hai Xu
Xiao-ming Cai
Dan-ya Zhou
Li-bing Cai
Jia-dong Pan
Min-tao Tian
Hong Chen
Dian-ying Zhang
Zhong-guo Fu
Pei-xun Zhang
Bao-guo Jiang
Use of nerve elongator to repair short-distance peripheral nerve defects: a prospective randomized study
Neural Regeneration Research
nerve regeneration; peripheral nerve deficiency; nerve elongator; British Medical Research Council scale; neurological function; prognosis; NSFC grants; neural regeneration
title Use of nerve elongator to repair short-distance peripheral nerve defects: a prospective randomized study
title_full Use of nerve elongator to repair short-distance peripheral nerve defects: a prospective randomized study
title_fullStr Use of nerve elongator to repair short-distance peripheral nerve defects: a prospective randomized study
title_full_unstemmed Use of nerve elongator to repair short-distance peripheral nerve defects: a prospective randomized study
title_short Use of nerve elongator to repair short-distance peripheral nerve defects: a prospective randomized study
title_sort use of nerve elongator to repair short distance peripheral nerve defects a prospective randomized study
topic nerve regeneration; peripheral nerve deficiency; nerve elongator; British Medical Research Council scale; neurological function; prognosis; NSFC grants; neural regeneration
url http://www.nrronline.org/article.asp?issn=1673-5374;year=2015;volume=10;issue=1;spage=79;epage=83;aulast=Bai
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