Table 1.
Vascularized nerve grafts (other than vascularized ulnar) for upper extremity injuries reconstruction.
| Patient no. | Type of injury | Gender | L,R | Level | Nerve | DT (months) Y | Age at Sx | F-UP (months) | No. of previous Sx | Intra-Operative (Gap 0, Neuroma 1) | Reconstruction | Outcomes | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Vascular fascia | Vascular graft | No strands | Length (cm) | Sensory | Motor | |||||||||||
| 1 | Gunshot | F | L | ARM | MED | 1 | 52 | 0 | 0 | 0 | NO | Sural | 4 | 4 × 10 | NO FU | NO FU |
| 2 | Fall from high | F | R | WRIST | MED | 15Y | 23 | 3 | 2 | 1 | YES | Sural | 2 | 2 × 11 | NO PAIN Sensibility return to near normal levels | Partial resection without downgrading the motor function |
| HAND | ||||||||||||||||
| 3 | Industrial w/ saw | M | L | ELBOW | MED | 96 | 39 | 96 | 2 | 1 | YES | Sural | 4 | 4 × 12 | NO PAIN 2PD < 3.5 | partial resection without downgrading the motor function |
| 4 | Work acc | M | R | WRIST | MED | 42 | 23 | 58 | 3 | 1 | YES | Sural | 3 | 3 × 4 | 2PD < 10 @ 30 months | |
| 5 | Fall in glass door | M | R | ARM | MED | 23 | 7 | 48 | 1 | 0 | NO | Sural | 2 | 2 × 12 3 × 11 | S2PD 4-6 mm | Muscle grade M4 |
| 6 | Jet engine | M | R | WRIST | ULN | 10 | 41 | 23 | 2 | 0 | NO | Sural | 2 | 2 × 15 | S2PD 12-15mm | Partial resection w/o downgrading motor |
| HAND | ||||||||||||||||
| 7 | High voltage electric | M | L + R | FOREARM | MED | 12 | 23 | 42 | 1 | 0 | NO | Saphenous | 2 | 2 × 14 | From MAC and LAC w/ non vasc | Muscle grade 4- Free LD transferred in the 1st stage to create also vasc bed. |
| 8 | Crush garage door | M | L | FOREARM | MED | 44 | 48 | 21 | 4 | 1 | NO | Saphenous | 5 | 5 × 10 | NO PAIN High frequency vibration | Partial resection w/o downgrading motor |
| 9 | Above elbow amputation | M | R | ARM | MED ULN | 12 | 27 | 0 | 1 | 0 | NO | Saphenous | 1 | 40 | NO FU | NO FU |
| 10 | Boat propeller | M | L | ELBOW | ULN | 17 | 23 | 36 | 0 | 0 | NO | Saphenous | 1 | 1 × 30 1 × 30 | 2PD < 10 | @1 year: intrinsic M2 + @ the end of FU: M4 |
| FOREARM | ||||||||||||||||
| 11 | Boat propeller | M | L | ELBOW | MED | 3 | 23 | 36 | 0 | 0 | NO | Superficial and deep (sensory) peroneal | 2 | 2 × 15 3 × 15 8 × 5.5 | 2PD < 10 | @ 1y FDS M3 + FDP M3- @ the end of FU M4 |
| FOREARM | ||||||||||||||||
| 12 | Fall in a bottle | F | R | WRIST | MED | 17Y | 22 | 12 | 3 | 1 | NO | Superficial radial | 2 | 2 × 12 3 × 12 (sural) | No improvement @ 12 months of FU | Partial resection w/o downgrading motor |
| 13 | Gunshot | M | R | ARM | MED | 3 | 24 | 53 | 0 | 0 | YES | Non vasc | 7 | 6 × 13 1 × 13 | 2PD < 10 | @ 40 months Muscle grade M4 |
| 14 | Gunshot | M | R | ARM | ULN | 3 | 24 | 53 | 0 | 0 | YES | Sural Non vasc | 4 | 4 × 8 | 2PD < 10 | @ 52 months Muscle grade M4 |
| 15 | Crush injury | F | L | WRIST | MED | 6 | 51 | 12 | 1 | 1 | YES | Sural | 1 | 1 × 10 | NO PAIN | Neurolysis no motor downgrading |
ULN ulnar nerve, MED median nerve, F female, M male, R right, L left, 2PD two-point discrimination, F-UP follow-up, Y Years