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Clinical Evaluation After Peripheral Nerve Repair With Caprolactone Neurotube

机译:己内酯神经管修复周围神经后的临床评价

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摘要

>Background: Peripheral nerve injuries with substance loss are challenges to surgeons because direct suture repair may result in malfunction due to nerve suture tension. Autologous nerve grafts are alternatives for treating those lesions; however, harvesting grafts adds morbidity at donor sites. Synthetic substitutes are options to bridge the gaps in these situations. The caprolactone neurotubes are used to assist nerve regeneration, but the literature lacks studies that evaluate their results. >Methods: This research was designed to clinically evaluate patients undergoing repair of peripheral nerves with that conduit. We described results of 12 case series consisting of operations with Neurolac®. All nerves severed were sensory and had small gaps (ie, less than 25 mm). Subjective and objective clinical evaluations were performed and registered. >Results: Physical examination by monofilament testing and 2-point discrimination showed results rated as good or excellent. However, the patients had complaints regarding sensory changes. >Conclusions: Synthetic bioabsorbable guides for nerve repair are promising. The caprolactone conduits were demonstrated to be a safe option treatment and with a simple technique. Although in our study there were some operative complications, they were in line with previous descriptions in the literature. This case series added information about the treatment prognosis, but a higher evidence level study is necessary for decision making.
机译:>背景:由于药物的直接缝合修复可能会由于神经缝合线张力而导致故障,因此外伤性周围神经损伤是外科医生面临的挑战。自体神经移植物是治疗这些病变的替代方法。但是,收获移植物会增加供体部位的发病率。在这些情况下,合成替代品是弥合差距的选择。己内酯神经管用于辅助神经再生,但文献缺乏评估其结果的研究。 >方法:该研究旨在临床评估接受该导管修复周围神经的患者。我们描述了由Neurolac®手术组成的12个病例系列的结果。所有切断的神经都是感觉神经,并且间隙很小(即小于25毫米)。进行并进行了主观和客观的临床评估。 >结果:通过单丝测试和2点辨别力进行的身体检查显示,结果为好或极好。但是,患者对感觉改变有所抱怨。 >结论:用于神经修复的合成生物可吸收指南很有前途。己内酯导管已被证明是一种安全的选择治疗方法,并且技术简单。尽管在我们的研究中存在一些手术并发症,但它们与文献中先前的描述一致。该病例系列增加了有关治疗预后的信息,但是需要更高的证据水平的研究来制定决策。

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