Peripheral Nerve Defects: Overviews of Practice in Europe.

Abstract:

:Many surgical techniques are available for the repair of peripheral nerve defects. Autologous nerve grafts are the gold standard for most clinical conditions. In selected cases, alternative types of reconstructions are performed to fill the nerve gap. Non-nervous autologous tissue-based conduits or synthetic ones are alternatives to nerve autografts. Allografts represent another new field of interest. Decision making in the treatment of nerve defects is based on timing of referral, level of the injury, type of lesion, and size of any gap. This review focuses on current clinical practice, influenced by the numerous new experimental researches.

journal_name

Hand Clin

journal_title

Hand clinics

authors

Battiston B,Titolo P,Ciclamini D,Panero B

doi

10.1016/j.hcl.2017.04.005

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

545-550

issue

3

eissn

0749-0712

issn

1558-1969

pii

S0749-0712(17)30037-9

journal_volume

33

pub_type

杂志文章,评审
  • The distal radioulnar joint complex in rheumatoid arthritis: an overview.

    abstract::Rheumatoid arthritis frequently involves the distal radioulnar joint region and is progressive. Early recognition of involvement is paramount to offering patients appropriate and timely treatment. Early operative intervention should be considered preventative. Synovectomy, hemiresection interposition technique, matche...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Clawson MC,Stern PJ

    更新日期:1991-05-01 00:00:00

  • The management of complications of small joint arthrodesis and arthroplasty.

    abstract::Arthrodesis and arthroplasty are surgical options used for the management of pain, stiffness, deformity, and instability related to arthritis and traumatic injury of the small joints of the hand. Arthrodesis and arthroplasty come with a risk of postoperative infection. Superficial soft tissue infections can often be m...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2015.01.002

    authors: Satteson ES,Langford MA,Li Z

    更新日期:2015-05-01 00:00:00

  • Tendon reconstruction with adjacent finger hand tendon.

    abstract::Whether it is a primary or a delayed flexor digitorum profundus (FDP) repair, no general consent has been found, and no perfect treatment has been imposed. The authors utilize 2 new techniques for FDP reconstruction that allow immediate postoperative mobilization and excellent functional outcome. Harvesting of the don...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2013.02.006

    authors: Sita-Alb LC,Durand S

    更新日期:2013-05-01 00:00:00

  • Upper extremity burn contractures.

    abstract::Upper extremity burn contractures are a major challenge to the reconstructive surgeon. Despite increasing sophistication in the overall management of acute thermal injuries, contractures still occur and are the most common cause of skin contracture in the hand. Reconstructive options for axillary, antecubital, wrist, ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Kurtzman LC,Stern PJ

    更新日期:1990-05-01 00:00:00

  • Biomechanics of tendon transfers.

    abstract::There are just two variables that define the mechanical qualities of each muscle. One is its potential for generating tension, and the other is the distance through which tension can be exerted. Tension capability can be increased in a muscle by exercise. There is no way to increase potential for excursion except by r...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Brand PW

    更新日期:1988-05-01 00:00:00

  • Needle aponeurotomy for the treatment of Dupuytren's disease.

    abstract::PNA is one of many treatments available for the treatment of hand contractures resulting from Dupuytren’s disease. It is generally recommended for elderly patients with less severe contractures who desire a less invasive procedure, or as a first stage to delay surgery in those with more aggressive disease. The procedu...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2013.09.005

    authors: Diaz R,Curtin C

    更新日期:2014-02-01 00:00:00

  • Pediatric elbow and forearm fractures requiring surgical treatment.

    abstract::In the modern pediatric orthopedic practice, operative management plays a vital and not infrequent role in the management of significant and difficult forearm and elbow fractures in the skeletally immature. Although the majority of forearm and many elbow fractures can be treated successfully by nonoperative measures, ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0749-0712(02)00017-3

    authors: Goodwin RC,Kuivila TE

    更新日期:2002-02-01 00:00:00

  • Benign and malignant cartilage tumors of the hand.

    abstract::Primary bone tumors of the hand and wrist are unusual but if present are frequently chondrogenic in origin. Enchondroma is the most common primary bone tumor of the hand and can be treated by curettage and bone grafting. Chondrosarcoma is rare and most likely the result of malignant degeneration of a pre-existing lesi...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2004.03.019

    authors: O'Connor MI,Bancroft LW

    更新日期:2004-08-01 00:00:00

  • The physiology of nerve transplantation.

    abstract::As microsurgical techniques improve, attempts to restore function after severe nerve injury place greater demands upon the use of nerve grafts. Viable Schwann cells within these grafts are necessary to maximize nerve regeneration. Progress in decreasing nerve allograft antigenicity and the host response through immuno...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Trumble TE,Shon FG

    更新日期:2000-02-01 00:00:00

  • Necrotizing Soft Tissue Infections of the Upper Extremity.

    abstract::Necrotizing soft tissue infections of the upper extremity have varying microbiologies and etiologies. Risk factors for development include diabetes mellitus, intravenous drug use, peripheral arterial disease, smoking, alcohol abuse, and immunocompromised state. Although clinical examination is the mainstay of diagnosi...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2020.03.007

    authors: Melillo A,Addagatla K,Jarrett NJ

    更新日期:2020-08-01 00:00:00

  • Tendon salvage and the active tendon implant: a perspective.

    abstract::The purpose, as well as the value, of the two-stage system in the salvage situation is for the surgeon to perform all the reconstructive surgery needed at Stage 1. Nerves are repaired, vessels are repaired if necessary, the intrinsic system is inspected, a Swanson implant is added if needed, and pulleys are built. If ...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Hunter JM

    更新日期:1985-02-01 00:00:00

  • Management of nerve compression syndrome in musicians.

    abstract::Nerve compression syndromes are common in the general population, and they are also common in musicians. As many as 30% of musicians who have a recognized musculoskeletal disorder are diagnosed with a nerve compression syndrome. Thus, it is important to consider the diagnosis of nerve compression syndromes in all musi...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0749-0712(02)00101-4

    authors: Amadio PC

    更新日期:2003-05-01 00:00:00

  • Total wrist arthroplasty.

    abstract::This article reviews the history of total wrist arthroplasty as a treatment option for painful, nonfunctional wrists in disease states. Technologic advances in materials, wear properties, and manufacturing now account for increased implant longevity. They may also improve total wrist replacement design, survival, and ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2012.08.015

    authors: McBeath R,Osterman AL

    更新日期:2012-11-01 00:00:00

  • Kinetic analysis of carpal stability during grip.

    abstract::When the wrist is grasping an object, at least four mechanisms of carpal stabilization are involved-one for each carpal row (proximal and distal), one for the midcarpal joint, and one for the radiocarpal joint. These mechanisms are based on the general principle that, under load-bearing conditions, any bone tends to r...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Garcia-Elias M

    更新日期:1997-02-01 00:00:00

  • Treatment of osteoarthritis in the hand and wrist. Nonoperative treatment.

    abstract::Osteoarthritis should initially be treated conservatively with the use of oral medication, intra-articular steroid injections, hand therapy, and splinting. The reduction of pain and the resultant increase in function to the patient are the ultimate goals of this treatment. ...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Palmieri TJ,Grand FM,Hay EL,Burke C

    更新日期:1987-08-01 00:00:00

  • The Basic Science of Dupuytren Disease.

    abstract::Dupuytren disease is a fibroproliferative condition affecting the hands of millions of patients worldwide. The hypothesis of pathogenesis involves genetic factors and internal factors. Recent genome-wide association studies have provided much needed evidence for the long-held belief of a strong genetic component to th...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2018.03.001

    authors: Zhang AY,Kargel JS

    更新日期:2018-08-01 00:00:00

  • Rehabilitation following motor nerve transfers.

    abstract::Cortical mapping and relearning are key factors in optimizing patient outcome following motor nerve transfers. To maximize function following nerve transfers, the rehabilitation program must include motor reeducation to initiate recruitment of the weak reinnervated muscles and to establish new motor patterns and corti...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2008.06.001

    authors: Novak CB

    更新日期:2008-11-01 00:00:00

  • Operative treatment of cerebral palsy.

    abstract::Although the overall patterns of deformity may be repetitive in cerebral palsy patients, it is extremely important to recognize that nothing replaces a careful examination of the individual patient and an individualized plan of approach. Our mistakes are rarely caused by technical errors, and we should not attribute o...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Szabo RM,Gelberman RH

    更新日期:1985-08-01 00:00:00

  • Anatomy and function of lumbrical muscles.

    abstract::The lumbrical muscles are unique in having their origin and insertion on tendons. The lumbricals assist in metacarpophalangeal joint flexion; they contribute to interphalangeal joint extension by acting as deflexors of the proximal interphalangeal joint. Anatomically, they are highly specialized in terms of their arch...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2011.09.002

    authors: Palti R,Vigler M

    更新日期:2012-02-01 00:00:00

  • Electrical and ultrasound stimulation for scaphoid fractures.

    abstract::The standard treatment for delayed union or nonunion of the scaphoid is operative management. Electrical stimulation has been employed in these clinical situations in patients unable or unwilling to undergo surgical intervention. Recent interest has also focused on the use of low-intensity ultrasound as an adjunct to ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Divelbiss BJ,Adams BD

    更新日期:2001-11-01 00:00:00

  • Practice in Wide-Awake Hand Surgery: Differences Between United Kingdom and Cyprus.

    abstract::The implementation of the wide-awake local anesthetic no tourniquet (WALANT) approach to surgical procedures in Cyprus has led to significant cost savings. In the United Kingdom, the implementation of WALANT has led to shorter waiting times for hand surgical procedures, cost savings for the National Health Service, an...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:10.1016/j.hcl.2018.08.007

    authors: Kritiotis C,Phillips A,Muir L,Naqui Z

    更新日期:2019-02-01 00:00:00

  • Elbow interposition arthroplasty.

    abstract::End-stage elbow arthritis in young, active patients presents a challenging problem to the upper extremity surgeon. Total elbow arthroplasty is not a viable option in this population because of functional restrictions, limited implant survivorship, and the lack of an adequate salvage option. With the appropriate surgic...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:10.1016/j.hcl.2011.01.002

    authors: Chen DD,Forsh DA,Hausman MR

    更新日期:2011-05-01 00:00:00

  • Complications of surgery for thoracic outlet syndrome.

    abstract::Having read through the previous litany of potential disasters and complications, one could ask the obvious question, "Why would anyone want to do this kind of surgery?" The answer is that most people elect not to! Nevertheless, for those who decide to venture into this field, there is the tremendous reward of being a...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0749-0712(03)00084-2

    authors: Leffert RD

    更新日期:2004-02-01 00:00:00

  • The upper extremity trauma patient.

    abstract::Trauma patients are predominantly young men. Urban trauma patients frequently are uninsured, and often are victims of intentionally inflicted penetrating injury, usually caused by firearms. Substance use is a common underlying factor in both urban and rural trauma. This article introduces urban and rural patients. It ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: McAuliffe JA

    更新日期:1999-05-01 00:00:00

  • Pediatric Fingertip Injuries.

    abstract::Pediatric fingertip injuries are common and peak at 2 years of age. These injuries most frequently result from a crush mechanism and half sustain an associated fracture. The presence of a physis results in unique injury patterns and management considerations in the growing child. Due to a substantial healing potential...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2020.09.009

    authors: Loewenstein SN,Adkinson JM

    更新日期:2021-02-01 00:00:00

  • Cerebral palsy of the upper extremity.

    abstract::The care of patients with spastic cerebral palsy requires the dedicated attention of a surgeon who is interested in the upper extremity, in association with therapists and other medical personnel who have a similar interest. The difficult problems of the upper extremity have often been overlooked by concerns related t...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Manske PR

    更新日期:1990-11-01 00:00:00

  • Treatment of complex fractures of the distal radius. Combined use of internal and external fixation and arthroscopic reduction.

    abstract::A group of fractures of the distal radius are inherently unstable and cannot be treated by closed reduction and cast or external fixation. These fractures are high-energy motor vehicle accidents often seen in young adults but possible in nearly every age group. They are not typical Colles's fractures because they are ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Cooney WP,Berger RA

    更新日期:1993-11-01 00:00:00

  • Extensor tendon grafting on the dorsum of the hand in massive tendon loss.

    abstract::After severe injury to the dorsum of the hand, it may not be possible to directly repair the extensor tendons. Patients in this article were treated by initial skin replacement with pedicle flaps for coverage prior to extensor tendon grafting. Multiple operative procedures were necessary, but restoration was uniformly...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Cautilli D,Schneider LH

    更新日期:1995-08-01 00:00:00

  • Clinical and radiologic features of primary osteoarthritis of the hand.

    abstract::An appreciation of the salient clinical and radiologic presentations of osteoarthritis, as well as associated tenosynovial problems (stenosing tenosynovitis and carpal tunnel syndrome), is necessary for effective diagnosis. The treatment of osteoarthritis is predicated upon an understanding of the anatomy and pathomec...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Dray GJ,Jablon M

    更新日期:1987-08-01 00:00:00

  • Primary bone tumors of the hand and carpus.

    abstract::This discussion has attempted to outline a fundamental approach to the radiographic analysis of solitary lesions of the hand and wrist skeleton. The initial evaluation invariably relies on the routine radiograph, using the conventional film-screen combination to obtain a sense of the lesion in its gross anatomic setti...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Feldman F

    更新日期:1987-05-01 00:00:00