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Interfascicular nerve grafting.

G K Frykman1, D Cally

  • 1Department of Orthopaedic Surgery, Loma Linda University School of Medicine, California.

The Orthopedic Clinics of North America
|January 1, 1988
PubMed
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Interfascicular nerve grafting offers comparable or better results than direct nerve repair for peripheral nerve gaps. This technique is preferred over tension or excessive joint flexion, establishing it as a contemporary standard.

Area of Science:

  • Neurosurgery
  • Peripheral Nerve Surgery

Background:

  • Peripheral nerve injuries often result in gaps requiring surgical repair.
  • Traditional methods like direct repair under tension or extensive joint mobilization have limitations.

Purpose of the Study:

  • To review the technique and outcomes of interfascicular nerve grafting.
  • To compare interfascicular nerve grafting results with existing literature on nerve repair.

Main Methods:

  • Review of 60 interfascicular nerve grafts in 33 patients.
  • Comparison of personal results with published data on nerve grafts and direct repairs.

Main Results:

  • Interfascicular nerve grafting outcomes are comparable or superior to direct repairs in literature.

Related Experiment Videos

  • The technique allows for better apposition and repair in a neutral joint position.
  • Minor sensory loss from sural nerve harvest was not clinically significant.

    • Conclusions:

    • Interfascicular nerve grafting is a preferable option for repairing peripheral nerve gaps, especially under tension.
    • Advantages include improved surgical conditions and outcomes, outweighing minor drawbacks.
    • The technique is considered the contemporary standard for significant peripheral nerve gaps.