AN EXPERIMENTAL-STUDY OF CONTRALATERAL C7 ROOT TRANSFER WITH VASCULARIZED NERVE GRAFTING TO TREAT BRACHIAL-PLEXUS ROOT AVULSION

被引:32
作者
CHEN, L
GU, YD
机构
[1] Hand Surgery Institute, Hua-Shan Hospital, Shanghai Medical University, Shanghai
关键词
D O I
10.1016/0266-7681(94)90051-5
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Experimental rat models of simulated brachial plexus injuries were devised to compare the effect of contralateral C7 root transfer with phrenic neurotization. The effect of vascularized nerve grafting (VNG) was also compared with the use of conventional nerve grafts (CNG) in the treatment of root avulsion of the brachial plexus. 160 rats were randomly divided into four groups of 40 each; contralateral C7 root transfer with a vascularized ulnar nerve graft (C7-VNG), contralateral C7 root transfer with conventional ulnar nerve grafting (C7-CNG), ipsilateral phrenic nerve transfer with a vascularized ulnar nerve graft (P-VNG) and ipsilateral phrenic nerve transfer with conventional ulnar nerve grafting (P-CNG). Electrophysiological and histological examinations and functional evaluation were performed at different post-operative intervals. C7 root transfer was found to be superior to phrenic nerve transfer and VNG superior to CNG. Severance of the C7 nerve root was not found to affect limb function on the healthy side.
引用
收藏
页码:60 / 66
页数:7
相关论文
共 7 条
[1]  
Breidenbach, Vascularized nerve grafts: A practical approach, Orthopedic Clinics of North America, 19, 1, pp. 81-89, (1988)
[2]  
Birch, Dunkerton, Bonney, Jamieson, Experience with free vascularized ulnar nerve graft in repair of supraclavicular lesions of the brachial plexus, Clinical Orthopaedics and Related Research, 237, pp. 96-104, (1988)
[3]  
Gu, Zhang, Chen, Et al., Seventh cervical nerve root transfer from the contralateral healthy side for treatment of brachial plexus root avulsion, Journal of Hand Surgery, 17 B, 5, pp. 518-521, (1992)
[4]  
Gu, Wu, Zhen, Et al., Phrenic nerve transfer for brachial plexus motor neurotization, Microsurgery, 10, pp. 287-289, (1989)
[5]  
Gu, Ma, Nerve transfer for treatment of root avulsion of the brachial plexus: Experimental studies in a rat model, Journal of Reconstructive Microsurgery, 7, pp. 15-22, (1991)
[6]  
Narakas, Thoughts on neurotization or nerve transfers in irreparable nerve lesions, Clinics in Plastic Surgery, 11, 1, pp. 153-159, (1984)
[7]  
Shibata, Tsai, Firrel, Breidenbach, Experimental comparison of vascularized and nonvascularized nerve grafting, Journal of Hand Surgery, 13 A, 3, pp. 358-365, (1988)