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Surgery on muscles in consequence of peripheral nerve lesions

  • H. Millesi
Part of the Acta Neurochirurgica Supplementum book series (NEUROCHIRURGICA, volume 100)

Abstract

In peripheral nerve surgery main attention is frequently paid to surgery on the nerves, and possibilities to increase the chances of useful recovery by surgery on the muscles are often overlooked. Overstretching of paralyzed muscles reduces the chances of useful recovery even if the nerve regenerates well. The same is true if the paralyzed muscles have to work against an overwhelming force of antagonists. The weak force of a regenerated muscle can significantly be improved by synergistic muscle transfer. Different possibilities in this regard are demonstrated by typical cases.

Keywords

Muscle regeneration nerve regeneration function muscle transfer 

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References

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    Ferraresi S, Garozzo D, Bufatti P (2003) Common peroneal nerve injuries: results with one stage nerve repair and tendon transfer. Neurosurg Rev 26: 175–179PubMedGoogle Scholar
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    Millesi H (1987) Lower extremity nerve lesions. In: Terzis JK (ed) Microreconstraction of nerve injuries. Saunders, Philadelphia, pp 243–249Google Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • H. Millesi
    • 1
    • 2
  1. 1.Millesi Center for the Surgery of Brachial Plexus and Peripheral Nerve LesionsVienna Private ClinicWienAustria
  2. 2.Austrian Cluster for Tissue RegenerationLudwig Boltzmann Institute for TraumatologyViennaAustria

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