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Peripheral Nerve Repair and Reconstruction

2013; Wolters Kluwer; Volume: 95; Issue: 23 Linguagem: Inglês

10.2106/jbjs.l.00704

1535-1386

Justin W. Griffin, MaCalus V. Hogan, Avneesh Chhabra, D. Nicole Deal,

Peripheral Nerve Disorders

➤ When possible, direct repair remains the current standard of care for the repair of peripheral nerve lacerations. ➤ In large nerve gaps, in which direct repair is not possible, grafting remains the most viable option. ➤ Nerve scaffolds include autologous conduits, artificial nonbioabsorbable conduits, and bioabsorbable conduits and are options for repair of digital nerve gaps that are <3 cm in length. ➤ Experimental studies suggest that the use of allografts may be an option for repairing larger sensory nerve gaps without associated donor-site morbidity.