Surgical Treatment of Obstetric Plexus Lesions by Direct Coaptation Compared to Sural Nerve Graft Interposition

Background To date, there are no uniform guidelines for the treatment of obstetric plexus lesions in German-speaking countries. An end-to-end direct suture after resection of trunk neuroma is recommended for surgical treatment if tension-free coaptation is possible, whereas the use of aut...

Full description

Saved in:
Bibliographic Details
Main Authors: Justus Mai, Christa Kunigunde Raak, Thomas Ostermann, Jörg Bahm, Wolfram Scharbrodt
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2025-01-01
Series:Journal of Brachial Plexus and Peripheral Nerve Injury
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1801398
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841533392736223232
author Justus Mai
Christa Kunigunde Raak
Thomas Ostermann
Jörg Bahm
Wolfram Scharbrodt
author_facet Justus Mai
Christa Kunigunde Raak
Thomas Ostermann
Jörg Bahm
Wolfram Scharbrodt
author_sort Justus Mai
collection DOAJ
description Background To date, there are no uniform guidelines for the treatment of obstetric plexus lesions in German-speaking countries. An end-to-end direct suture after resection of trunk neuroma is recommended for surgical treatment if tension-free coaptation is possible, whereas the use of autologous nerve grafts bridging the gap between the adaptation margins is advised by consensus if tension-free coaptation is impossible.
format Article
id doaj-art-2a247a4e610c4b5f9b5e469ce1685fc1
institution Kabale University
issn 1749-7221
language English
publishDate 2025-01-01
publisher Georg Thieme Verlag KG
record_format Article
series Journal of Brachial Plexus and Peripheral Nerve Injury
spelling doaj-art-2a247a4e610c4b5f9b5e469ce1685fc12025-01-16T00:06:06ZengGeorg Thieme Verlag KGJournal of Brachial Plexus and Peripheral Nerve Injury1749-72212025-01-012001e9e1510.1055/s-0044-1801398Surgical Treatment of Obstetric Plexus Lesions by Direct Coaptation Compared to Sural Nerve Graft InterpositionJustus Mai0https://orcid.org/0009-0001-0038-3596Christa Kunigunde Raak1Thomas Ostermann2Jörg Bahm3Wolfram Scharbrodt4Integrative Neuromedicine, Community Hospital Herdecke, Witten/Herdecke University, Herdecke, GermanyIntegrative Neuromedicine, Community Hospital Herdecke, Witten/Herdecke University, Herdecke, GermanyChair of Research Methodology and Statistics in Psychology, Witten/Herdecke University, Witten, GermanyDivision of Plexus Surgery, Clinic for Plastic Surgery, Hand and Burn Surgery, RWTH Aachen University, Hospital Aachen Germany, Aachen, GermanyIntegrative Neuromedicine, Community Hospital Herdecke, Witten/Herdecke University, Herdecke, Germany Background To date, there are no uniform guidelines for the treatment of obstetric plexus lesions in German-speaking countries. An end-to-end direct suture after resection of trunk neuroma is recommended for surgical treatment if tension-free coaptation is possible, whereas the use of autologous nerve grafts bridging the gap between the adaptation margins is advised by consensus if tension-free coaptation is impossible.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1801398obstetric brachial plexus palsydirect coaptationsural nerve graftmicrosurgery
spellingShingle Justus Mai
Christa Kunigunde Raak
Thomas Ostermann
Jörg Bahm
Wolfram Scharbrodt
Surgical Treatment of Obstetric Plexus Lesions by Direct Coaptation Compared to Sural Nerve Graft Interposition
Journal of Brachial Plexus and Peripheral Nerve Injury
obstetric brachial plexus palsy
direct coaptation
sural nerve graft
microsurgery
title Surgical Treatment of Obstetric Plexus Lesions by Direct Coaptation Compared to Sural Nerve Graft Interposition
title_full Surgical Treatment of Obstetric Plexus Lesions by Direct Coaptation Compared to Sural Nerve Graft Interposition
title_fullStr Surgical Treatment of Obstetric Plexus Lesions by Direct Coaptation Compared to Sural Nerve Graft Interposition
title_full_unstemmed Surgical Treatment of Obstetric Plexus Lesions by Direct Coaptation Compared to Sural Nerve Graft Interposition
title_short Surgical Treatment of Obstetric Plexus Lesions by Direct Coaptation Compared to Sural Nerve Graft Interposition
title_sort surgical treatment of obstetric plexus lesions by direct coaptation compared to sural nerve graft interposition
topic obstetric brachial plexus palsy
direct coaptation
sural nerve graft
microsurgery
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1801398
work_keys_str_mv AT justusmai surgicaltreatmentofobstetricplexuslesionsbydirectcoaptationcomparedtosuralnervegraftinterposition
AT christakunigunderaak surgicaltreatmentofobstetricplexuslesionsbydirectcoaptationcomparedtosuralnervegraftinterposition
AT thomasostermann surgicaltreatmentofobstetricplexuslesionsbydirectcoaptationcomparedtosuralnervegraftinterposition
AT jorgbahm surgicaltreatmentofobstetricplexuslesionsbydirectcoaptationcomparedtosuralnervegraftinterposition
AT wolframscharbrodt surgicaltreatmentofobstetricplexuslesionsbydirectcoaptationcomparedtosuralnervegraftinterposition