What question did this study set out to answer?

To evaluate sensory recovery following the repair of digital nerve gaps using autogenous vein graft conduits.

December 1, 1989Plastic & Reconstructive Surgery

Autogenous Vein Graft Repair of Digital Nerve Defects in the Finger

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Authors

RWRobert L. WaltonNorthwestern University RBRichard E. BrownLawrence Berkeley National Laboratory WMW. Earle MatoryLahey Hospital and Medical Center

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Implication

Clinical study demonstrates sensory recovery after acute autogenous vein grafting for digital nerve defects, indicating vein conduits can effectively bridge short gaps.

Key Points

To evaluate sensory recovery following the repair of digital nerve gaps using autogenous vein graft conduits.
Evaluated 22 digital nerve repairs performed with autogenous vein grafts bridging gaps measuring 1 to 3 cm, with an 82% follow-up rate.
Assessed sensibility return across acute and delayed repairs using moving two-point discrimination, Semmes-Weinstein monofilaments, and vibratory testing.
Moving two-point discrimination averaged 4.6 mm in 11 acute digital nerve repairs with 1- to 3-cm conduits, whereas delayed repairs yielded poor sensory recovery.
Vibratory sensibility returned in 100% of evaluated repairs, with Semmes-Weinstein testing showing balanced functional recovery between slowly and quickly adapting sensory fibers.

Cite This Study

Walton et al. (1989) studied this question.

synapsesocial.com/papers/6a912d2cbf9b9e6d2b65e034 https://doi.org/10.1097/00006534-198912000-00013

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Implication

Clinical study demonstrates sensory recovery after acute autogenous vein grafting for digital nerve defects, indicating vein conduits can effectively bridge short gaps.

Autogenous Vein Graft Repair of Digital Nerve Defects in the Finger

Discussion

Member takes

Implication

Key Points

Cite This Study

Autogenous Vein Graft Repair of Digital Nerve Defects in the Finger

Discussion

Member takes

Implication

Key Points

Cite This Study

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