Median nerve reconstruction
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Reconstruction of a peripheral nerve with autograft is a useful technique that has numerous applications including reconstruction of a nerve gap following trauma, and excision and grafting of a neuroma in continuity.
The following case serves to demonstrate the technique in a patient that had previously had treatment for a complete median nerve division at the wrist with surgical exploration and subsequent reconstruction of a nerve gap using processed nerve allograft.
The patient went on to have very little sensory or motor recovery through the allograft and developed a neuroma in continuity.
The decision was made to re-explore and to excise the graft and any proximal neuroma and perform a cabled autograft reconstruction using sural nerve autograft.
Author: Tahseen Chaudhry, Consultant hand and peripheral nerve surgeon
Institution: Peripheral Nerve Unit, Birmingham hand centre, Queen Elizabeth Hospital Birmingham, UK
Clinicians should seek clarification on whether any implant demonstrated is licensed for use in their own country.
In the USA contact: fda.gov
In the UK contact: gov.uk
In the EU contact: ema.europa.eu
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