Limitations of Conduits in Peripheral Nerve Repairs

Hand (N Y) · 2009 · Classic · cited 268 times

Amy M. Moore, Rahul Kasukurthi, Christina K. Magill, H. Francis Farhadi, Gregory Howard Borschel, Susan E. Mackinnon

Hand & Upper Extremity

SUMMARY — THE REDUCTIONFour patients with large-diameter nerve defects repaired with absorbable conduits had failed outcomes, so nerve length, diameter, and function should be weighed carefully before choosing a conduit over autograft.
Abstract, as published

Nerve conduits have emerged as alternatives to autologous nerve grafts, but their use in large-diameter nerve deficits remains untested. We report four patients who underwent repair of large-diameter nerves using absorbable nerve conduits and discuss the failed clinical outcomes. The reported cases demonstrate the importance of evaluating the length, diameter, and function of nerves undergoing conduit repair. In large-diameter nerves, the use of conduits should be carefully considered.

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