Download Peripheral Nerve Surgery: Practical Applications in the by David J. Slutsky MD FRCS PDF

By David J. Slutsky MD FRCS

This functional and entire booklet offers you trendy most sensible wisdom at the therapy of nerve accidents from the brachial plexus to the fingertip. Pioneers in peripheral nerve surgical procedure from throughout North the US and Europe provide you with assistance, pearls, and technical issues gleaned from their many years of expertise. they supply specified discussions of normal suggestions for nerve fix and grafting due to electrodiagnostic suggestions for fascicular matching, in addition to new parts of end-to-side nerve fix, nerve transfers, and nerve conduits.

  • Lists the symptoms and particular cases within which nerve transfers can be used as opposed to tendon transfers for formerly unrepairable nerve injuries.
  • Discusses using common in addition to new thoughts of nerve reconstruction for the administration of nerve harm for finger replantation or toe transfers.
  • Examines the therapy of continual soreness with using autogenous vein wrapping as a barrier to fibrous ingrowth.
  • Incorporates office-based reports and intraoperative nerve tracking thoughts so that you can larger interpret the electrodiagnostic try effects for greater selection making within the remedy of nerve injuries.
  • Presents all clinically orientated chapters in a standardized structure to incorporate symptoms · a quick overview of the literature · step by step surgical directions · and effects emphasizing the authors' personal tools and reports.
  • Provides specialist insurance on the best way to part the nerve, which graft to take advantage of, and the way to accomplish a matched fascicular fix.
  • Explores using varied, commercially on hand artificial conduits.
  • Covers the indicators, effects, and technical issues of neurotization for differently unsalvageable nerve avulsions.

With 19 extra contributing specialists

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Additional resources for Peripheral Nerve Surgery: Practical Applications in the Upper Extremity, 1e

Sample text

A temporary suture for orientation may also be placed in the epineurium of each nerve end. Maintenance of the Coaptation In most instances, coaptation is maintained by individual stitches. Although tube repairs either with autogenous vein or synthetic materials have been described and can be successful, they are relatively new and are not in general use today. If tube repairs prove to yield results that are comparable to nerve suture, they offer decided advantages since there is less tension and fewer technical errors.

The biology of nerve injury and repair. J Am Soc Surg Hand 2004;4:143–55. 8. Jabaley, ME. Electrical nerve stimulation in the awake patient. Bull Hosp Jt Dis Orthop Inst 1984;44:248–59. 9. Gaul JS Jr. Electrical fascicle identification as an adjunct to nerve repair. J Hand Surg 1983;8:289–96. 10. Hakstian RW. Funicular orientation by direct stimulation. J Bone Joint Surg Am 1968;50:1178–86. 11. Millesi H, Terzis JK. Problems of terminology in peripheral nerve surgery. Microsurgery 1983;4:51–6. 12.

Ehrsson HH, Fagergren A, Jonsson T, et al. Cortical activity in precision- versus power-grip tasks: an fMRI study. J Neurophysiol 2000;83:528–36. Chen R, Cohen LG, Hallett M. Nervous system reorganization following injury. Neuroscience 2002;111:761–73. Kaas J. Plasticity of sensory and motor maps in adult mammals. Ann Rev Neurosci 1991;14:137–68. Johansson BB. Brain plasticity and stroke rehabilitation. The Willis Lecture. Stroke 2000;31:223–30. Florence SL, Garraghty PE, Wall JT, et al. Sensory afferent projections and area 3b somatotopy following median nerve cut and repair in macaque monkeys.

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