Regenerative Peripheral Nerve Interface Surgery: Anatomic and Technical Guide.

Autor: Leach GA; From the Department of General Surgery, Division of Plastic Surgery, University of California San Diego, La Jolla, Calif., Dean RA; From the Department of General Surgery, Division of Plastic Surgery, University of California San Diego, La Jolla, Calif., Kumar NG; Section of Plastic and Reconstructive Surgery and the Department of Biomedical Engineering, University of Michigan, Ann Arbor, Mich., Tsai C; From the Department of General Surgery, Division of Plastic Surgery, University of California San Diego, La Jolla, Calif., Chiarappa FE; Department of Orthopedic Surgery, University of California San Diego, La Jolla, Calif., Cederna PS; Section of Plastic and Reconstructive Surgery and the Department of Biomedical Engineering, University of Michigan, Ann Arbor, Mich., Kung TA; Section of Plastic and Reconstructive Surgery and the Department of Biomedical Engineering, University of Michigan, Ann Arbor, Mich., Reid CM; From the Department of General Surgery, Division of Plastic Surgery, University of California San Diego, La Jolla, Calif.
Jazyk: angličtina
Zdroj: Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2023 Jul 17; Vol. 11 (7), pp. e5127. Date of Electronic Publication: 2023 Jul 17 (Print Publication: 2023).
DOI: 10.1097/GOX.0000000000005127
Abstrakt: Regenerative peripheral nerve interface (RPNI) surgery has been demonstrated to be an effective tool as an interface for neuroprosthetics. Additionally, it has been shown to be a reproducible and reliable strategy for the active treatment and for prevention of neuromas. The purpose of this article is to provide a comprehensive review of RPNI surgery to demonstrate its simplicity and empower reconstructive surgeons to add this to their armamentarium. This article discusses the basic science of neuroma formation and prevention, as well as the theory of RPNI. An anatomic review and discussion of surgical technique for each level of amputation and considerations for other etiologies of traumatic neuromas are included. Lastly, the authors discuss the future of RPNI surgery and compare this with other active techniques for the treatment of neuromas.
Competing Interests: The authors have no financial interest to declare in relation to the content of this article.
(Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.)
Databáze: MEDLINE