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Reply To: AVANCE processed nerve allograft indications

Orthoracle Forums Upper Limb & Hand AVANCE processed nerve allograft indications Reply To: AVANCE processed nerve allograft indications

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Tahseen Chaudry
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Other areas where I have found Avance fits into my practice is for nerve gap reconstruction during limb or digit replantation where there doubt over the survival of the extremity makes alternatives to autograft attractive.

A concern over how well the larger diameter allografts vascularise has lead me to think about using cables of allograft of a smaller diameter instead, as one would do for an autograft reconstruction.

I have noticed that regeneration across a segment of Avance takes much longer, possibly twice as long, as one would expect for a similar length of autograft. I’d be interested to hear other surgeons experiences.

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