Detailed Information on Publication Record
2007
Direct repair (nerve grafting), neurotization, and end-to-side neurorrhaphy in the treatment of brachial plexus injury
HANINEC, Pavel, Filip ŠÁMAL, Robert TOMÁŠ, Ladislav HOUŠŤAVA, Petr DUBOVÝ et. al.Basic information
Original name
Direct repair (nerve grafting), neurotization, and end-to-side neurorrhaphy in the treatment of brachial plexus injury
Name in Czech
Přímá reparace poškozeného brachiálního plexu neurotizací a end-to-side anastomózou
Authors
HANINEC, Pavel (203 Czech Republic), Filip ŠÁMAL (203 Czech Republic), Robert TOMÁŠ (203 Czech Republic), Ladislav HOUŠŤAVA (203 Czech Republic) and Petr DUBOVÝ (203 Czech Republic, guarantor)
Edition
Journal of Neurosurgery, 2007, 0022-3085
Other information
Language
English
Type of outcome
Článek v odborném periodiku
Field of Study
30000 3. Medical and Health Sciences
Country of publisher
Netherlands
Confidentiality degree
není předmětem státního či obchodního tajemství
Impact factor
Impact factor: 1.990
RIV identification code
RIV/00216224:14110/07:00028062
Organization unit
Faculty of Medicine
UT WoS
000244864700006
Keywords in English
brachial plexus; end-to-side neurorrhaphy; neurotization; nerve graft; electromyography; peripheral nerve
Tags
Změněno: 26/6/2009 11:24, prof. RNDr. Petr Dubový, CSc.
V originále
Object. The authors present the long-term results of nerve grafting and neurotization procedures in their group of patients with brachial plexus injuries and compare the results of "classic" methods of nerve repair with those of end-to-side neurorrhaphy. Methods. Between 1994 and 2006, direct repair (nerve grafting), neurotization, and end-to-side neurorrhaphy were performed in 168 patients, 95 of whom were followed up for at least 2 years after surgery. Successful results were achieved in 79% of cases after direct repair and in 56% of cases after end-to-end neurotization. The results of neurotization depended on the type of the donor nerve used. In patients who underwent neurotization of the axillary and the musculocutaneous nerves, the use of intraplexal nerves (motor branches of the brachial plexus) as donors of motor fibers was associated with a significantly higher success rate than the use of extraplexal nerves (81% compared with 49%, respectively, p = 0.003). Because of poor functional results of axillary nerve neurotization using extraplexal nerves (success rate 47.4%), the authors used end-to-side neurorrhaphy in 14 cases of incomplete avulsion. The success rate for end-to-side neurorrhaphy using the axillary nerve as a recipient was 64.3%, similar to that for neurotization using intraplexal nerves (68.4%) and better than that achieved using extraplexal nerves (47.4%, p = 0.19). Conclusions. End-to-side neurorrhaphy offers an advantage over classic neurotization in not requiring sacrifice of any of the surrounding nerves or the fascicles of the ulnar nerve. Typical synkinesis of muscle contraction innervated by the recipient nerve with contraction of muscles innervated by the donor was observed in patients after end-to-side neurorrhaphy.
In Czech
Autoři prezentují dlouhodobé výsledky rekonstrukčních operací poškozeného brachiálního plexu metodou přímé neurotizace nebo end-to-side anastomózou. End-to-side anastomóza poskytuje nové možnosti při rekonstrukci brachiálního plexu.
Links
| MSM0021622404, plan (intention) |
| ||
| NF6658, research and development project |
|