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9783211729557

How to Improve the Results of Peripheral Nerve Surgery

by ;
  • ISBN13:

    9783211729557

  • ISBN10:

    3211729550

  • Edition: 1st
  • Format: Hardcover
  • Copyright: 2007-12-04
  • Publisher: Springer Verlag
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Summary

All over the world research is going on to improve the outcome of the treatment of peripheral nerve lesions. Questions over questions arise. Is the autologeous nerve grafting still the golden standard in bridging defects? Have alternative techniques to overcome defects reached a level to replace autografting? To which length are they effective? What is the role of allografting? Are there still indications for vascularized nerve grafts? What can be expected from end to side coaptation? Does it exist at all? Under what conditions useful recoveries can be achieved? Are there new developments in physical medicine and physiotherapy? Can the quality of recovery be influenced by surgery on muscles to provide a better equilibrium of forces? To what extent cerebral plasticity may be exploited to improve functional results? The contributions in this book give answers to all of these questions.

Table of Contents

The potential of electrical stimulation to promote functional recovery after peripheral nerve injury - comparisons between rats and humansp. 3
Surgical technique for the treatment of C5 and C6 root avulsionp. 13
Lumbosacral plexus lesionsp. 15
Microsurgical management of penetrating peripheral nerve injuries: pre, intra- and postoperative analysis and resultsp. 21
An evaluation using techniques to assess muscle and nerve regeneration of a flexible glass wrap in the repair of peripheral nervesp. 25
Analysis of the dose-response of N-acetylcysteine in the prevention of sensory neuronal loss after peripheral nerve injuryp. 29
Did the partial contralateral C7-transfer fulfil our expectations? Results after 5 year experiencep. 33
Bridging defects: autologous nerve graftsp. 37
The allogenic nerve graftp. 39
Alternative techniques for peripheral nerve repair: conduits and end-to-side neurorrhaphyp. 43
The beneficial effect of genetically engineered Schwann cells with enhanced motility in peripheral nerve regeneration: reviewp. 51
Schwann cells, acutely dissociated from a predegenerated nerve trunk, can be applied into a matrix used to bridge nerve defects in ratsp. 57
Comparative neuro tissue engineering using different nerve guide implantsp. 61
The "bioartificial living nerve graft"p. 65
Nerve regeneration using tubular scaffolds from biodegradable polyurethanep. 69
A new technique of autogenous conduits for bridging short nerve defects. An experimental study in the rabbitp. 73
End-to-side nerve neurorrhaphy: critical appraisal of experimental and clinical datap. 77
Ingrowth of sensory axons into an end-to-side coapted nerve stump after donor nerve crush in the ratp. 85
Which myelinated sensory axons sprout into an end-to-side coapted peripheral nerve in the rat?p. 89
Functional recovery and mechanisms in end-to-side nerve repair in ratsp. 93
Synergistic terminal motor end-to-side nerve graft repair: investigation in a non-human primate modelp. 97
End-to-side coaptation - controversial research issue or important tool in human patientsp. 103
Cortical reintegration of a replanted hand and an osseointegrated thumb prosthesisp. 109
Cortical motor activation patterns following hand transplantation and replantationp. 113
Coordinated function oriented movements after multiple root avulsionp. 117
Enhanced sensory relearning after nerve repair by using repeated forearm anaesthesia: aspects on time dynamics of treatmentp. 121
Enhanced sensory re-learning after nerve repair using 3D audio-visual signals and kinaesthesia - preliminary resultsp. 127
Anatomical structures to provide passive motility of peripheral nerve trunks and fasciclesp. 133
Critical review of pathophysiologic mechanisms in thoracic outlet syndrome (TOS)p. 137
TOS-surgery via a single supraclavicular incisionp. 141
Thoracic outlet syndrome: a multidisciplinary problem with a perspective for microsurgical management without rib resectionp. 145
Neurosurgical prevention of ulceration and amputation by decompression of lower extremity peripheral nerves in diabetic neuropathy: update 2006p. 149
IMF-Therapy (Intention controlled Myo-Feedback) - an innovative method in the treatment of peripheral nerve lesionsp. 155
In peripheral nerve regeneration environment enriched with activity stimulating factors improves functional recoveryp. 161
Cognitive re-education and early functional mobilisation in hand therapy after bilateral hand transplantation and heterotopic hand replantation - two case reportsp. 169
Functional, morphological and biomolecular assessment of posttraumatic neuro-muscular recovery in the rat forelimb modelp. 173
Surgery on muscles in consequence of peripheral nerve lesionsp. 179
Table of Contents provided by Blackwell. All Rights Reserved.

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