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Related Experiment Videos

Clinical experience with end-to-side nerve transfer.

C Pienaar1, M C Swan, W De Jager

  • 1Martin Singer Hand Unit, Groote Schuur Hospital, University of Cape Town, Cape Town, Republic of South Africa.

Journal of Hand Surgery (Edinburgh, Scotland)
|September 1, 2004
PubMed
Summary

End-to-side nerve transfer showed limited effectiveness for peripheral nerve repair. This study found no objective motor recovery and minimal sensory improvement, leading to the abandonment of this technique.

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Area of Science:

  • Neurosurgery
  • Peripheral Nerve Surgery

Background:

  • Peripheral nerve injuries require effective surgical repair.
  • End-to-side nerve transfer is a reconstructive technique.
  • Its clinical efficacy remains under investigation.

Purpose of the Study:

  • To evaluate the effectiveness of end-to-side nerve transfer for peripheral nerve lesions.
  • To assess functional recovery outcomes following this surgical approach.

Main Methods:

  • Retrospective study of 20 patients with peripheral nerve lesions.
  • 23 end-to-side nerve transfers performed over 15 months.
  • Follow-up of 10 patients for a mean of 16 months.

Main Results:

  • No objective motor recovery observed in any patient.

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  • Four patients regained deep protective sensation.
  • Two patients experienced donor nerve morbidity.

    • Conclusions:

    • End-to-side nerve transfer demonstrated poor outcomes for motor function.
    • The technique was abandoned in favor of nerve grafting.
    • Further research into optimal nerve repair strategies is warranted.