Digital nerve reconstruction by multiple Y-shaped nerve grafts at the metacarpophalangeal joint level

J Plast Reconstr Aesthet Surg. 2008 Nov;61(11):e13-6. doi: 10.1016/j.bjps.2008.04.044. Epub 2008 Aug 13.

Abstract

Digital nerve injuries are common; injuries of the common digital nerves are less frequent than those involving the proper digital nerves. Traditional techniques used to reconstruct peripheral nerves are: direct suture, autologous nerve grafts, autologous vein grafts, vascularised nerve graft and alloplastic nerve grafts. Autologous nerve grafts remain the most common conduits for segmental defects. Difficulties can arise when attempting to repair complex nerve gaps, particularly when joining the proximal stump of the common digital nerve with two distal stumps of proper digital nerves as in lesions involving the web space. We present below a case of such a lesion. We describe the use of the lateral antebrachial cutaneous nerve (LABCN) as donor nerve, by exploiting its natural branchings.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Finger Injuries / surgery*
  • Fingers / innervation*
  • Follow-Up Studies
  • Humans
  • Male
  • Metacarpophalangeal Joint / innervation
  • Metacarpophalangeal Joint / surgery*
  • Microsurgery / methods
  • Nerve Transfer / methods*
  • Peripheral Nerve Injuries*
  • Peripheral Nerves / surgery
  • Recovery of Function