Wenzel, C. and Brix, E. and Heidekrueger, P. and Lonic, D. and Lamby, P. and Klein, S. M. and Anker, A. and Taeger, C. and Prantl, L. and Kehrer, A. (2023) A favorable donor site in microsurgery: Nerve and vein graft harvest from the dorsum of the foot. CLINICAL HEMORHEOLOGY AND MICROCIRCULATION, 83 (1). pp. 1-10. ISSN 1386-0291, 1875-8622
Full text not available from this repository. (Request a copy)Abstract
BACKGROUND AND OBJECTIVES: In complex hand traumas nerves and vessels are often destructed without the possibility for primary repair. For bridging defects of nerves, veins and arteries grafts are necessary. Commonly nerve and vein grafts from adjacent donor sites as the wrist, forearm or cubital region are harvested. METHODS: This study is a retrospective cohort study. Between 2017 and 2019, 10 patients with complex hand injuries were treated. There were 8 males and 2 females, with an average age of 39 years (range 8-63 years). In all cases grafts were used of the dorsum of the foot for reconstructing of the severed digital nerves and arteries. All donor sites could be closed primarily. RESULTS: In 100% of cases nerves and veins of the dorsum of the foot showed a good size match as well as adequate length for a sufficient repair. The overall Hand Injury Severity Score (HISS) was determined with a median of 86 (range 57 to 286). In the area of the donor site no relevant complications were seen. CONCLUSIONS: In complex hand injuries the dorsum of the foot is a favorable donor site for nerve and vein graft harvest.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | DORSALIS-PEDIS FLAP; CLINICAL-APPLICATION; SENSORY NERVE; HAND; RECONSTRUCTION; INJURIES; TRAUMA; REPAIR; Complex hand injuries; hand trauma; nerve graft; vein graft; donor site; nerve interposition; microsurgery |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Plastische-, Hand- und Wiederherstellungschirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 10 Mar 2024 11:15 |
| Last Modified: | 10 Mar 2024 11:15 |
| URI: | https://pred.uni-regensburg.de/id/eprint/59565 |
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