Abstract:
:Reinnervation of a hand transplant ultimately dictates functional recovery but provides a significant regenerative challenge. This article highlights interventions to enhance nerve regeneration through acceleration of axonal regeneration or augmentation of Schwann cell support and discuss their relevance to composite tissue allotransplantation. Surgical techniques that may be performed at the time of transplantation to optimize intrinsic muscle recovery--including appropriate alignment of ulnar nerve motor and sensory components, transfer of the distal anterior interosseous nerve to the recurrent motor branch of the median nerve, and prophylactic release of potential nerve entrapment points--are also presented.
journal_name
Hand Clinjournal_title
Hand clinicsauthors
Glaus SW,Johnson PJ,Mackinnon SEdoi
10.1016/j.hcl.2011.07.002subject
Has Abstractpub_date
2011-11-01 00:00:00pages
495-509, ixissue
4eissn
0749-0712issn
1558-1969pii
S0749-0712(11)00061-8journal_volume
27pub_type
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