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

Kód výsledku v 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>

Nalezeny alternativní kódy

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

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30212 - Surgery

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2024

Kód důvěrnosti údajů

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

Název periodika

Journal of Plastic, Reconstructive &amp; Aesthetic Surgery

ISSN

1748-6815

e-ISSN

1878-0539

Svazek periodika

89

Číslo periodika v rámci svazku

February

Stát vydavatele periodika

NL - Nizozemsko

Počet stran výsledku

6

Strana od-do

1-6

Kód UT WoS článku

001147180200001

EID výsledku v databázi Scopus

2-s2.0-85180311231