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Direct plexus repair by grafts supplemented by nerve transfers
KLINE DG; TIEL RL
HAND CLIN , 2005, vol. 21, n° 1, p. 55-69 Doc n°: 119818 Localisation : Documentation IRR Descripteurs : AC22 - PLEXUS - PATHOLOGIE DU SNP, DD861 - TRAITEMENT CHIRURGICAL - MAIN-DOIGTS This article reviews the Louisiana State University Health Sciences Center experience with direct repair of brachial plexus lacerations, gunshot wounds, and stretch/contusive/avulsive injuries. In the stretch category, limited outcomes with direct repair have led to addition of nerve transfers rather than their exclusive use. It is important to perform direct plexus repair in conjunction with nerve transfers in the same patient whenever possible. The intent of such a ''pants-over-vest'' approach is to maximize axonal input to denervated structures. Langue : ANGLAIS Tiré à part : OUI |
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