Use of Bioabsorbable Nerve Conduits as an Adjunct to Brachial Plexus Neurorrhaphy

Wolfe SW, Strauss HL, Garg R, et al (Hosp for Special Surgery, NY; Weill Med College of Cornell Univ, NY) J Hand Surg 37A:1980-1985, 2012^§

Abstract

Purpose

The use of bioabsorbable conduits in digital nerve repair has demonstrated increased efficacy compared to direct repair (for gaps ≤ 4mm) and nerve grafting (for gaps ≥8 mm) for sensory recovery in a level 1 human trial. Although nonhuman primate studies on mixed motor-sensory nerves have documented comparable efficacy of the bioabsorbable nerve conduits when compared to nerve repair or grafting, there is minimal human clinical data on motor recovery following bioabsorbable nerve conduit repair. This study investigates the outcomes of bioabsorbable nerve conduits in pure motor nerve reconstruction for adult traumatic brachial plexus injuries.

Methods

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