How to Improve the Results of Peripheral Nerve Surgery (eBook)

Preface 6
Contents 7
Surgery on the nerve 10
The potential of electrical stimulation to promote functional recovery after peripheral nerve injury – comparisons between rats and humans 11
Surgical technique for the treatment of C5 and C6 root avulsion 20
Lumbosacral plexus lesions 22
Microsurgical management of penetrating peripheral nerve injuries: pre, intra- and postoperative analysis and results 28
An evaluation using techniques to assess muscle and nerve regeneration of a flexible glass wrap in the repair of peripheral nerves 32
Analysis of the dose-response of N-acetylcysteine in the prevention of sensory neuronal loss after peripheral nerve injury 36
Did the partial contralateral C7-transfer fulfil our expectations? Results after 5 year experience 39
Bridging defects 42
Bridging defects: autologous nerve grafts 42
The allogenic nerve graft 44
Alternative techniques for peripheral nerve repair: conduits and end- to- side neurorrhaphy 47
The beneficial effect of genetically engineered Schwann cells with enhanced motility in peripheral nerve regeneration: review 55
Schwann cells, acutely dissociated from a predegenerated nerve trunk, can be applied into a matrix used to bridge nerve defects in rats 61
Comparative neuro tissue engineering using different nerve guide implants 64
The ‘‘bioartificial living nerve graft’’ 68
Nerve regeneration using tubular scaffolds from biodegradable polyurethane 71
A new technique of autogenous conduits for bridging short nerve defects. An experimental study in the rabbit 75
End-to-side coaptation 79
End-to-side nerve neurorrhaphy: critical appraisal of experimental and clinical data 79
Ingrowth of sensory axons into an end-to-side coapted nerve stump after donor nerve crush in the rat 87
Which myelinated sensory axons sprout into an end-to-side coapted peripheral nerve in the rat? 90
Functional recovery and mechanisms in end-to-side nerve repair in rats 93
Synergistic terminal motor end-to-side nerve graft repair: investigation in a non- human primate model 96
End-to-side coaptation – controversial research issue or important tool in human patients 101
Cerebral plasticity 105
Cortical reintegration of a replanted hand and an osseointegrated thumb prosthesis 106
Cortical motor activation patterns following hand transplantation and replantation 110
Coordinated function oriented movements after multiple root avulsion 113
Enhanced sensory relearning after nerve repair by using repeated forearm anaesthesia: aspects on time dynamics of treatment 116
Enhanced sensory re-learning after nerve repair using 3D audio-visual signals and kinaesthesia – preliminary results 122
Compression and irritation syndromes 125
Anatomical structures to provide passive motility of peripheral nerve trunks and fascicles 126
Critical review of pathophysiologic mechanisms in thoracic outlet syndrome ( TOS) 129
TOS-surgery via a single supraclavicular incision 132
Thoracic outlet syndrome: a multidisciplinary problem with a perspective for microsurgical management without rib resection 135
Neurosurgical prevention of ulceration and amputation by decompression of lower extremity peripheral nerves in diabetic neuropathy: update 2006 138
Muscle 141
IMF-Therapy (Intention controlled Myo-Feedback) – an innovative method in the treatment of peripheral nerve lesions 142
In peripheral nerve regeneration environment enriched with activity stimulating factors improves functional recovery 147
Cognitive re-education and early functional mobilisation in hand therapy after bilateral hand transplantation and heterotopic hand replantation – two case reports 154
Functional, morphological and biomolecular assessment of posttraumatic neuro- muscular recovery in the rat forelimb model 157
Surgery on muscles in consequence of peripheral nerve lesions 162
Author index 165
Index of keywords 166