Anterior transposition of the radial nerve to achieve primary suture for its reconstruction: Anatomical feasibility study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064173%3A_____%2F24%3A43926310" target="_blank" >RIV/00064173:_____/24:43926310 - isvavai.cz</a>

Alternative codes found

RIV/61383082:_____/24:00001398 RIV/00216208:11110/24:10472515 RIV/00216208:11120/24:43926310 RIV/00216208:11130/24:10472515

Result on the web

<a href="https://doi.org/10.1016/j.bjps.2023.11.045" target="_blank" >https://doi.org/10.1016/j.bjps.2023.11.045</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.bjps.2023.11.045" target="_blank" >10.1016/j.bjps.2023.11.045</a>

Result language

angličtina

Original language name

Anterior transposition of the radial nerve to achieve primary suture for its reconstruction: Anatomical feasibility study

Original language description

INTRODUCTION: Radial nerve palsy after humeral shaft fractures is often associated with formation of a neuroma in continuity. The current standard of treatment is neuroma resection and nerve grafting with contentious results. Anterior transposition of the radial nerve may reduce the length of its path, allowing reconstruction by primary suture. The aim of this study was to determine the maximum length of radial nerve defect that can be treated by the anterior transposition to allow primary suture to be performed. METHODS: We use 10 arms from five fresh cadavers. The radial nerve was dissected in the lateral inter-muscular septum and along the anterior aspect of the forearm. The radial nerve was transected at the level of the spiral groove and both stumps were than transposed anterior to the medial inter-muscular septum. The length of tension-free overlap that could be achieved was measured. RESULTS: The average length of the overlap at zero degrees of elbow flexion was 10.00 +- 1.84 mm. Theoretically, this will allow a defect of 20 +- 3.69 mm SD to be treated by primary suture. CONCLUSION: Our results suggest that anterior transposition can be used for radial nerve defects up to 2 cm; however, dissection of both stumps proved to be challenging.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30212 - Surgery

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2024

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of Plastic, Reconstructive &amp; Aesthetic Surgery

ISSN

1748-6815

e-ISSN

1878-0539

Volume of the periodical

89

Issue of the periodical within the volume

February

Country of publishing house

NL - THE KINGDOM OF THE NETHERLANDS

Number of pages

6

Pages from-to

1-6

UT code for WoS article

001147180200001

EID of the result in the Scopus database

2-s2.0-85180311231