<Original Articles>Wrap-Around Neurorrhaphy : An Improved Method of Repair for Disparate Nerve Stumps

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  • NISHIJIMA, NAOKI
    Department of Orthopaedic Surgery, Faculty of Medicine, Kyoto University
  • KAKINOKI, RYOSUKE
    Department of Orthopaedic Surgery, Faculty of Medicine, Kyoto University
  • SUGIMOTO, MASAYUKI
    Department of Orthopaedic Surgery, Faculty of Medicine, Kyoto University
  • FUJIO, KEIJI
    Department of Orthopaedic Surgery, Faculty of Medicine, Kyoto University
  • NAKAMURA, TAKASHI
    Department of Orthopaedic Surgery, Faculty of Medicine, Kyoto University

Bibliographic Information

Other Title
  • <原著>神経外膜を利用した神経再建方法 : 神経断端の大きさが異なる場合の神経修復

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Description

We report a new method of nerve Reconstruction, wrap-around neurorrhaphy, in which the funicular suture site is wrapped with the epineurium of the larger stump. The specific applications of this procedure in brachial plexus reconstruction are described and the clinical results presented. The method was applied in intercostal nerve transfer to the musculocutaneous nerve in 21 patients and in 12 patients with axillary nerve injury who underwent reconstruction with autografts using wrap-around neurorrhaphy. Rigid fixation of the neurorrhaphy site could be obtained using this method, and the clinical results were satisfactory.

Journal

  • Nihon Geka Hokan

    Nihon Geka Hokan 64 (2), 74-82, 1995-03-01

    京都大学医学部外科整形外科学教室内 日本外科宝函編集室

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