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Epineural Sleeve Reconstruction Technique for Median Nerve Complete Transection
Spyridon P Galanakos1,2,3, Andreas F Mavrogenis1,2,3, Christos Vottis1,2,3
1Department of Orthopaedics, KAT Hospital, Athens, Greece.
The Archives of Bone and Joint Surgery
|March 31, 2018
Summary
The epineural sleeve technique effectively bridges nerve gaps in microsurgery. This case study shows excellent median nerve regeneration and full functional recovery after 18 months using this method.
Area of Science:
- Microsurgery
- Neuroscience
- Regenerative Medicine
Background:
- The epineural sleeve technique is utilized in microsurgical nerve repair to bridge nerve defects.
- The epineurium acts as a mechanical support, reducing gap size and enhancing repair strength to promote nerve regeneration.
Purpose of the Study:
- To present a case of complete median nerve transection treated with the epineural sleeve graft reconstruction technique.
- To evaluate the efficacy of the epineural sleeve technique in restoring nerve function.
Main Methods:
- A 32-year-old patient with a completely transected median nerve underwent repair using the epineural sleeve graft technique.
- Nerve regeneration was monitored for 18 months.
- Functional outcomes were assessed using the Rosén and Lundborg scoring system.
Main Results:
- The patient achieved complete sensory and motor function recovery of the median nerve.
- The epineural sleeve technique facilitated successful nerve regeneration and functional restoration.
Conclusions:
- The epineural sleeve graft reconstruction technique is a viable and effective method for treating complete nerve transections.
- Excellent long-term functional outcomes can be achieved with this microsurgical approach.
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