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End-to-side coaptation — controversial research issue or important tool in human patients

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How to Improve the Results of Peripheral Nerve Surgery

Part of the book series: Acta Neurochirurgica Supplementum ((NEUROCHIRURGICA,volume 100))

Abstract

End-to-side coaptation is still a controversial procedure. Many authors reported surprisingly good results; others showed mediocre results only. There are also reports of complete failures. Apparently all authors are right. According to our experience the results depend on the level of endto-side coaptation and on the nerve fiber composition. End-to-side coaptation between mixed nerves do have very poor expectations. The chances are much better if e.g. a small denervated pure motor nerve is coapted to a functioning small pure motor nerve. The same procedure may produce opposite results according to the circumstances. In our experience endto-side coaptation is a reliable procedure of great use in selected cases. Main field of application are thin nerves with a well defined function and synergistic terminal motor branches.

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Millesi, H., Schmidhammer, R. (2007). End-to-side coaptation — controversial research issue or important tool in human patients. In: Millesi, H., Schmidhammer, R. (eds) How to Improve the Results of Peripheral Nerve Surgery. Acta Neurochirurgica Supplementum, vol 100. Springer, Vienna. https://doi.org/10.1007/978-3-211-72958-8_22

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  • DOI: https://doi.org/10.1007/978-3-211-72958-8_22

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-72955-7

  • Online ISBN: 978-3-211-72958-8

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