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Enzymhistochemical evaluation of ulnar nerve grafts in brachial plexus lesions
Author(s) -
Becker Michael H.J.,
Lassner Franz,
Schaller Eberhard,
Berger Alfred
Publication year - 1993
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.1920140704
Subject(s) - medicine , neurovascular bundle , brachial plexus , ulnar nerve , intercostal nerves , microsurgery , surgery , anatomy , latissimus dorsi muscle , elbow
Our concept for the reconstruction of brachial plexus injuries includes an intercostal nerve transfer to the vascularized ulnar nerve graft. A free neurovascular latissimus dorsi is then transferred in a second stage operation. For optimization of the regeneration result, the operative planning of the second step includes nerve biopsies and enzymhistochemical evaluation for the distribution of motor axons. The staining method according to Scabolcz et al. 13 is described and clinical cases are presented. © 1993 Wiley‐Liss Inc.