期刊
ANNALES DE CHIRURGIE PLASTIQUE ESTHETIQUE
卷 55, 期 1, 页码 19-34出版社
ELSEVIER
DOI: 10.1016/j.anplas.2009.03.003
关键词
Palmar digital nerve; Nerve graft; Vein graft
类别
Aim. - Palmar digital nerves defects can be treated by conventional nerve grafts or by means of a conduit, such as a vein. We compared a vein graft technique to a nerve graft technique in a retrospective monocentric study. Material and method. - A surgeon who was not involved in the treatment reviewed blind 15 nerve grafts and 17 vein grafts. The evaluation concerned sensitivity, pain, donor site morbidity, social integration and autoassessment of the benefits by the patient. Data were compacted by a sifting method eliminating bad results. The classical functional scores (British Medical Research Council, Moberg, Chanson, Alnot, Dumontier) were also used. Results. - The evaluation was carried out at least 11 months after treatment. Defect was never greater than 30 mm. After sifting, vein grafts appeared less efficient than nerve grafts (41% good results against 73%), except in emergencies (86% good results). Conclusion. - For defect loss of no more than 30 mm in emergencies, the authors propose to use vein grafting. In other situations, the surgeon must take into account the patient's profile and the hemi-pulp concerned, dominant or non-dominant, before opting for a nerve or a vein graft. (C) 2009 Elsevier Masson SAS. All rights reserved.
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