Intra-septal sensory branch as an alternative to the sural
nerve grafting in radial nerve reconstruction: Anatomical and
histomorphological study

J 2025

Intra-septal sensory branch as an alternative to the sural nerve grafting in radial nerve reconstruction: Anatomical and histomorphological study

MAKEĽ, Michal; Veronika NEMCOVA; Marek JOUKAL; Tomas KUCERA; Adam HORA et al.

Základní údaje

Originální název

Intra-septal sensory branch as an alternative to the sural nerve grafting in radial nerve reconstruction: Anatomical and histomorphological study

Autoři

MAKEĽ, Michal; Veronika NEMCOVA; Marek JOUKAL; Tomas KUCERA; Adam HORA; Anhelina KHADANOVICH a Radek KAISER

Vydání

JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, London, ELSEVIER SCI LTD, 2025, 1748-6815

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30212 Surgery

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.400 v roce 2024

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/25:00143742

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Radial nerve palsy; Nerve grafting; Peripheral nerve injury; Radial nerve reconstruction

Štítky

14110514, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 24. 2. 2026 07:54, Mgr. Tereza Miškechová

Anotace

V originále

Introduction: Nerve grafting with the sural nerve is a standard treatment method for radial nerve injury that requires another incision at the lateral ankle distal from the injured upper limb. The aim of this study was to investigate the common trunk (CTCB) of the inferior lateral brachial cutaneous nerve (ILBCN) and posterior antebrachial cutaneous nerve (PACN) as a possible donor inside the lateral intermuscular septum. Materials and methods: The arms and legs of 8 formalin-embalmed cadaver specimens were studied. The radial nerve, common trunk of the ILBCN and PACN, and the sural nerve were identified and measured in length and diameter. For histological examination, nerve samples from 6 fresh cadavers were harvested and processed for further axonal counting. Results: The average length of the CTCB was 114.92 +/- 18.9 mm. To match the diameter of the radial nerve at its proximal third, 3 cables of CTCB graft were necessary, which corresponds to a defect length of 3.8 cm. At the level of the distal third, the number of grafts was reduced to 2 with a corresponding defect length of 5.7 cm. The radial nerve contained 15162 +/- 318 axons, and the CTCB comprised 3959 +/- 176 axons. To match the axon count of the recipient nerve, 4 grafts of CTCB were necessary, which corresponded to a defect length of 2.8 cm. Conclusion: CTCB is a consistent and easily dissected cutaneous nerve branch of the radial nerve that can be used for bridging small gaps after neuroma-in-continuity in radial nerve palsy. (c) 2025 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

Citovat

MAKEĽ, Michal; Veronika NEMCOVA; Marek JOUKAL; Tomas KUCERA; Adam HORA; Anhelina KHADANOVICH a Radek KAISER. Intra-septal sensory branch as an alternative to the sural nerve grafting in radial nerve reconstruction: Anatomical and histomorphological study. JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY. London: ELSEVIER SCI LTD, 2025, roč. 103, April 2025, s. 174-180. ISSN 1748-6815. Dostupné z: https://doi.org/10.1016/j.bjps.2025.02.008.

@article{2556381,
   author = {Makeľ, Michal and Nemcova, Veronika and Joukal, Marek and Kucera, Tomas and Hora, Adam and Khadanovich, Anhelina and Kaiser, Radek},
   article_location = {London},
   article_number = {April 2025},
   doi = {https://doi.org/10.1016/j.bjps.2025.02.008},
   keywords = {Radial nerve palsy; Nerve grafting; Peripheral nerve injury; Radial nerve reconstruction},
   language = {eng},
   issn = {1748-6815},
   journal = {JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY},
   title = {Intra-septal sensory branch as an alternative to the sural nerve grafting in radial nerve reconstruction: Anatomical and histomorphological study},
   url = {https://www.jprasurg.com/article/S1748-6815(25)00109-3},
   volume = {103},
   year = {2025}
}

TY  - JOUR
ID  - 2556381
AU  - Makeľ, Michal - Nemcova, Veronika - Joukal, Marek - Kucera, Tomas - Hora, Adam - Khadanovich, Anhelina - Kaiser, Radek
PY  - 2025
TI  - Intra-septal sensory branch as an alternative to the sural nerve grafting in radial nerve reconstruction: Anatomical and histomorphological study
JF  - JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
VL  - 103
IS  - April 2025
SP  - 174-180
EP  - 174-180
PB  - ELSEVIER SCI LTD
SN  - 17486815
KW  - Radial nerve palsy
KW  - Nerve grafting
KW  - Peripheral nerve injury
KW  - Radial nerve reconstruction
UR  - https://www.jprasurg.com/article/S1748-6815(25)00109-3
N2  - Introduction: Nerve grafting with the sural nerve is a standard treatment method for radial nerve injury that requires another incision at the lateral ankle distal from the injured upper limb. The aim of this study was to investigate the common trunk (CTCB) of the inferior lateral brachial cutaneous nerve (ILBCN) and posterior antebrachial cutaneous nerve (PACN) as a possible donor inside the lateral intermuscular septum. Materials and methods: The arms and legs of 8 formalin-embalmed cadaver specimens were studied. The radial nerve, common trunk of the ILBCN and PACN, and the sural nerve were identified and measured in length and diameter. For histological examination, nerve samples from 6 fresh cadavers were harvested and processed for further axonal counting. Results: The average length of the CTCB was 114.92 +/- 18.9 mm. To match the diameter of the radial nerve at its proximal third, 3 cables of CTCB graft were necessary, which corresponds to a defect length of 3.8 cm. At the level of the distal third, the number of grafts was reduced to 2 with a corresponding defect length of 5.7 cm. The radial nerve contained 15162 +/- 318 axons, and the CTCB comprised 3959 +/- 176 axons. To match the axon count of the recipient nerve, 4 grafts of CTCB were necessary, which corresponded to a defect length of 2.8 cm. Conclusion: CTCB is a consistent and easily dissected cutaneous nerve branch of the radial nerve that can be used for bridging small gaps after neuroma-in-continuity in radial nerve palsy. (c) 2025 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
ER  -

MAKEĽ, Michal; Veronika NEMCOVA; Marek JOUKAL; Tomas KUCERA; Adam HORA; Anhelina KHADANOVICH a Radek KAISER. Intra-septal sensory branch as an alternative to the sural nerve grafting in radial nerve reconstruction: Anatomical and histomorphological study. \textit{JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY}. London: ELSEVIER SCI LTD, 2025, roč.~103, April 2025, s.~174-180. ISSN~1748-6815. Dostupné z: https://doi.org/10.1016/j.bjps.2025.02.008.

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