{"title":"Direct Muscular Neurotization","authors":"Giorgio A. Brunelli MD, PHD","doi":"10.1016/j.jassh.2005.08.001","DOIUrl":null,"url":null,"abstract":"<div><p><span>Several severe types of injuries are not amenable to traditional techniques of peripheral nerve repair. In these cases, the distal nerve branching and contact points in the end muscles are avulsed, essentially removing the neural portion of the muscle. Direct muscular neurotization often can reconstitute some muscle contraction and function by implanting a </span>nerve graft, divided into several slips, directly into the muscle. This article describes the indications, contraindications, and technical issues associated with direct muscular neurotization.</p></div>","PeriodicalId":100840,"journal":{"name":"Journal of the American Society for Surgery of the Hand","volume":"5 4","pages":"Pages 193-200"},"PeriodicalIF":0.0000,"publicationDate":"2005-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jassh.2005.08.001","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American Society for Surgery of the Hand","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1531091405001427","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Several severe types of injuries are not amenable to traditional techniques of peripheral nerve repair. In these cases, the distal nerve branching and contact points in the end muscles are avulsed, essentially removing the neural portion of the muscle. Direct muscular neurotization often can reconstitute some muscle contraction and function by implanting a nerve graft, divided into several slips, directly into the muscle. This article describes the indications, contraindications, and technical issues associated with direct muscular neurotization.
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