Evaluation of emergency nerve grafting for proper palmar digital nerve defects: A retrospective single centre study

摘要: Abstract Hypothesis Finger trauma often results in discontinuity of the proper palmar digital nerves. The goal this study was to retrospectively evaluate clinical outcomes emergency nerve grafting and resulting donor site morbidity. Material method Three women 13 men who had been operated between 2008 2012 were reviewed. average patient age 39 years (range 18–78). All on an basis. defect 38 mm long 15–60). nerves harvested from four sites: lateral antebrachial cutaneous (12 cases), banked finger (2 terminal portion posterior interosseous (1 case) anterior case). evaluation consisted questioning examination treated site. An objective sensory exam also performed. expressed according British Medical Research Council (MRC) classification. Results There little morbidity cases symptomatic hypoesthesia, 1 case scar hypersensitivity). Sixty-nine percent patients stated that their grafted did not cause them any trouble during activities daily living. required job retraining. Pain 0.6 0–5) VAS. Normal sensation restored 31% based monofilament test; 25% a slight decrease touch sensitivity reduced protective sensations. Weber's two-point discrimination test found 50% normal sensibility (threshold  Conclusion 56% good series (S3+/S4) no at S0. Donor rare. Thus use is still relevant option setting. Level evidence IV.