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Clinical Experience with End-to-Side Nerve TransferFrom the Martin Singer Hand Unit, Groote Schuur Hospital, University of Cape Town, Cape Town, Republic of South Africa Correspondence: Mr M.C. Swan, Department of Plastic & Reconstructive Surgery, Radcliffe Infirmary, Woodstock Road, Oxford, OX2 6HE, UK. Tel.: +44-0-1865-224-818; fax: +44-0-1865-311-673; E-mail: marc.swan{at}surgery.oxford.ac.uk A retrospective study was undertaken to determine the effectiveness of end-to-side nerve transfer. Twenty patients with peripheral nerve lesions of varying aetiology underwent 23 end-to-side nerve transfers over a 15-month period. The mean patient age was 30 years and 18 were male. The mean delay in presentation was 2.4 months. All underwent end-to-side nerve repairs and were reviewed in outpatients at regular intervals. Ten patients were lost to follow-up before 12 months and were therefore excluded from the study. The remaining ten patients, who had undergone 13 end-to-side procedures, had a mean follow-up period of 16 months. None demonstrated objective evidence of motor recovery at the end of the study period. Four patients had modest recovery of deep protective sensation, and two patients suffered a subtle degree of "donor" nerve morbidity. We have abandoned this technique in our centre in preference for standard nerve grafting techniques.
Key Words: end-to-side terminolateral nerve transfer neurorrhaphy clinical outcome
Journal of Hand Surgery (British and European Volume), Vol. 29, No. 5,
438-443 (2004) This article has been cited by other articles:
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