Reconstruction of a long defect of the median nerve with a free nerve conduit flap
Upper limb nerve damage is a common condition, and evidence suggests that functional recovery may be limited following peripheral nerve repair in cases of delayed reconstruction or reconstruction of long nerve defects. A 26-year-old man presented with traumatic injury from a wide, blunt wound of the right forearm caused by broken glass, with soft tissue loss, complete transection of the radial and ulnar arteries, and a large median nerve gap. The patient underwent debridement and subsequent surgery with a microsurgical free radial fasciocutaneous flap to provide a direct blood supply to the hand; the cephalic vein within the flap was employed as a venous vascularized chamber to wrap the sural nerve graft and to repair the wide gap (14 cm) in the median nerve. During the postoperative period, the patient followed an intensive rehabilitation program and was monitored for functional performance over 5 years of follow-up. Our assessment demonstrated skin tropism and sufficient muscle power to act against strong resistance (M5) in the muscles previously affected by paralysis, as well as a good localization of stimuli in the median nerve region and an imperfect recovery of two-point discrimination (S3+). We propose a novel and efficient procedure to repair >10-cm peripheral nerve gap injuries related to upper limb trauma.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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Reconstruction of a long defect of the median nerve with a free nerve conduit flap ; volume:47 ; number:02 ; year:2020 ; pages:187-193
Archives of Plastic Surgery ; 47, Heft 02 (2020), 187-193
- Contributor
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Campodonico, Andrea
Pangrazi, Pier Paolo
De Francesco, Francesco
Riccio, Michele
- DOI
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10.5999/aps.2019.00654
- URN
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urn:nbn:de:101:1-2022071410362168129883
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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15.08.2025, 7:28 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Campodonico, Andrea
- Pangrazi, Pier Paolo
- De Francesco, Francesco
- Riccio, Michele
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Lipofibromatous hamartoma of the median nerve
Tendon transfer for median nerve palsy
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Intraneural Venous Malformations of the Median Nerve
Machine intelligence for nerve conduit design and production
Median artery persistence in coexistence with a bifid median nerve and interconnections of the median with the ulnar nerve and vice versa
Nerve grafting for peripheral nerve injuries with extended defect sizes
Unusual nerve supply of biceps from ulnar nerve and median nerve and a third head of biceps
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Lipofibromatous hamartoma of the median nerve
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Median nerve conduction studies in rabbits
Tendon transfer for median nerve palsy
Shoulder posture and median nerve sliding
Bilateral communication between musculocutaneous nerve and median nerve - a case report
Intraneural Venous Malformations of the Median Nerve
Machine intelligence for nerve conduit design and production
Median artery persistence in coexistence with a bifid median nerve and interconnections of the median with the ulnar nerve and vice versa
Nerve grafting for peripheral nerve injuries with extended defect sizes