Chirurgie de la main
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Chirurgie de la main · Dec 2011
[Neurotization of the deep branch of ulnar nerve with anterior interosseous nerve: anatomic study].
The paralysis of the deep branch of ulnar nerve has major consequences on the motricity of the hand that will be felt as more handicapping by the patient than the sensory deficit. The current treatment of ulnar nerve lesions is suture or nerve graft in first intention and is essentially palliative in case of failure. We were interested in the anatomy of the anterior interosseous nerve and the deep branch of ulnar nerve to know if neurotization using direct suture of these two branches was possible in every case. ⋯ Neurotization of the deep branch of ulnar nerve with the anterior interosseous nerve has no major functional loss and gives possible recovery of all the intrinsic muscles innervated by the deep branch of ulnar nerve. This neurotisation can be considered as an alternative to the usual techniques of direct suture or nerve graft, in case of lesion above mid forearm.
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Chirurgie de la main · Dec 2011
Review[Techniques of peripheral nerves repair: evolution of the literature from 1950 to 2010].
The life expectancy of technological innovations is estimated at 50years. In medicine, these cycles were poorly studied. The purpose of this work was to study the time-evolution of publications concerning the techniques of repair of the peripheral nerves (TRPN). ⋯ In the decade 2000-2010, the literature produced as many publications on TRPN (181) as in the half-century from 1950 to 2000 (174). Conversely, the global medical literature produced twice as few publications in the decade 2000-2010 (7000000) than in the half-century 1950-2000 (13000000). Several hypotheses can be evoked: encouragement of scientific publication, the development of functional surgery, the augmentation of microsurgery education.