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Current Concept in Adult Peripheral Nerve and Brachial Plexus Surgery

Peripheral nerve injuries and brachial plexus injuries are relatively frequent. Significance of these injuries lies in the fact that the majority of patients with these types of injuries constitute working population. Since these injuries may create disability, they present substantial socioeconomic...

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Detalles Bibliográficos
Autor principal: Rasulic, Lukas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2017
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5624798/
https://www.ncbi.nlm.nih.gov/pubmed/28974982
http://dx.doi.org/10.1055/s-0037-1606841
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author Rasulic, Lukas
author_facet Rasulic, Lukas
author_sort Rasulic, Lukas
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description Peripheral nerve injuries and brachial plexus injuries are relatively frequent. Significance of these injuries lies in the fact that the majority of patients with these types of injuries constitute working population. Since these injuries may create disability, they present substantial socioeconomic problem nowadays. This article will present current state-of-the-art achievements of minimal invasive brachial plexus and peripheral nerve surgery. It is considered that the age of the patient, the mechanism of the injury, and the associated vascular and soft-tissue injuries are factors that primarily influence the extent of recovery of the injured nerve. The majority of patients are treated using classical open surgical approach. However, new minimally invasive open and endoscopic approaches are being developed in recent years—endoscopic carpal and cubital tunnel release, targeted minimally invasive approaches in brachial plexus surgery, endoscopic single-incision sural nerve harvesting, and there were even attempts to perform endoscopic brachial plexus surgery. The use of the commercially available nerve conduits for bridging short nerve gap has shown promising results. Multidisciplinary approach individually designed for every patient is of the utmost importance for the successful treatment of these injuries. In the future, integration of biology and nanotechnology may fabricate a new generation of nerve conduits that will allow nerve regeneration over longer nerve gaps and start new chapter in peripheral nerve surgery.
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spelling pubmed-56247982017-10-03 Current Concept in Adult Peripheral Nerve and Brachial Plexus Surgery Rasulic, Lukas J Brachial Plex Peripher Nerve Inj Peripheral nerve injuries and brachial plexus injuries are relatively frequent. Significance of these injuries lies in the fact that the majority of patients with these types of injuries constitute working population. Since these injuries may create disability, they present substantial socioeconomic problem nowadays. This article will present current state-of-the-art achievements of minimal invasive brachial plexus and peripheral nerve surgery. It is considered that the age of the patient, the mechanism of the injury, and the associated vascular and soft-tissue injuries are factors that primarily influence the extent of recovery of the injured nerve. The majority of patients are treated using classical open surgical approach. However, new minimally invasive open and endoscopic approaches are being developed in recent years—endoscopic carpal and cubital tunnel release, targeted minimally invasive approaches in brachial plexus surgery, endoscopic single-incision sural nerve harvesting, and there were even attempts to perform endoscopic brachial plexus surgery. The use of the commercially available nerve conduits for bridging short nerve gap has shown promising results. Multidisciplinary approach individually designed for every patient is of the utmost importance for the successful treatment of these injuries. In the future, integration of biology and nanotechnology may fabricate a new generation of nerve conduits that will allow nerve regeneration over longer nerve gaps and start new chapter in peripheral nerve surgery. Georg Thieme Verlag KG 2017-10-02 /pmc/articles/PMC5624798/ /pubmed/28974982 http://dx.doi.org/10.1055/s-0037-1606841 Text en https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Rasulic, Lukas
Current Concept in Adult Peripheral Nerve and Brachial Plexus Surgery
title Current Concept in Adult Peripheral Nerve and Brachial Plexus Surgery
title_full Current Concept in Adult Peripheral Nerve and Brachial Plexus Surgery
title_fullStr Current Concept in Adult Peripheral Nerve and Brachial Plexus Surgery
title_full_unstemmed Current Concept in Adult Peripheral Nerve and Brachial Plexus Surgery
title_short Current Concept in Adult Peripheral Nerve and Brachial Plexus Surgery
title_sort current concept in adult peripheral nerve and brachial plexus surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5624798/
https://www.ncbi.nlm.nih.gov/pubmed/28974982
http://dx.doi.org/10.1055/s-0037-1606841
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