Epineural Sleeve Reconstruction Technique for Median Nerve Complete Transection

Document Type: TECHNICAL NOTE

Authors

1 Department of Orthopaedics, KAT Hospital, Athens, Greece

2 Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University General Hospital, Athens, Greece

3 Athens Medical Center, Psychico Clinic, Athens, Greece

Abstract

In microsurgical nerve repair, the epineural sleeve technique can be used to bridge short nerve defects and to cover
the coaptation site with the epineurium of the nerve stump. The epineurium serves as a mechanical aid to reduce
gap size, and increase repair strength, effectively assisting nerve regeneration.
This article presents a 32-year-old patient who experienced complete transection of the median nerve at the
distal forearm, which was treated with the epineural sleeve graft reconstruction technique. Nerve regeneration
was followed-up for 18 months and evaluated with the Rosén and Lundborg scoring system. The final outcome
was excellent; at the last follow-up, the patient experienced complete sensory and motor function of the median
nerve.

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