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Tubular Repair of the Median Nerve in the Human ForearmPreliminary findingsFrom the Department of Hand Surgery, Malmö Allmänna Sjukhus, University of Lund, Malmö, Sweden Correspondence: Göran Lundborg, Department of Hand Surgery, Malmö Allmänna Sjukhus, S-214 01 Malmö, Sweden.
Transected median nerves in the forearm of two male patients, 12 and 21 years of age, were treated with a chamber technique leaving a 3 to 5 mm gap between the nerve ends. The nerve ends were enclosed in a silicone tube of such a dimension that would not cause compression of the nerve. Post-operative examination including sensory evaluation and assessment of muscle contraction force was carried out after 3 years. In both cases there was excellent motor recovery of the thenar muscles. Outgrowth of sensory fibres was remarkably fast, resulting ultimately in functional sensibility allowing almost normal hand function. 2PD was
Journal of Hand Surgery (British and European Volume), Vol. 19, No. 3,
273-276 (1994) This article has been cited by other articles:
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6 mm (12year-old patient) and 8 to 10 mm (21-year-old patient) respectively. In one case the silicone tube was re-explored because of minor local discomfort 2 years after the repair. The former gap was bridged by a smooth continuous nerve-like structure of the same diameter as the adjacent nerve trunk and with no signs of nenroma formation or compression of the nerve. 
