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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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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Georg Thieme Verlag KG
2017
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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 |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-5624798 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Georg Thieme Verlag KG |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT rasuliclukas currentconceptinadultperipheralnerveandbrachialplexussurgery |