• Hand clinics · May 2016

    Review

    Autograft Substitutes: Conduits and Processed Nerve Allografts.

    • Bauback Safa and Gregory Buncke.
    • The Buncke Clinic, 45 Castro Street #121, San Francisco, CA 94114, USA. Electronic address: bauback@drsafa.com.
    • Hand Clin. 2016 May 1; 32 (2): 127-40.

    AbstractManufactured conduits and allografts are viable alternatives to direct suture repair and nerve autograft. Manufactured tubes should have gaps less than 10 mm, and ideally should be considered as an aid to the coaptation. Processed nerve allograft has utility as a substitute for either conduit or autograft in sensory nerve repairs. There is also a growing body of evidence supporting their utility in major peripheral nerve repairs, gap repairs up to 70 mm in length, as an alternative source of tissue to bolster the diameter of a cable graft, and for the management of neuromas in non-reconstructable injuries. Copyright © 2016 Elsevier Inc. All rights reserved.

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