Ulnar Nerve Reconstruction With a Basilic Vein Tributary Graft: A Practical and Easily Replicable Technique With Favourable Outcomes

Article Sidebar

PDF
Published: Jan 31, 2024
DOI: https://doi.org/10.47836/mjmhs.20.1.49
Keywords:
Laceration wound, Ulnar nerve, Vein conduit, Nerve repair, Nerve coaptation

Main Article Content

Collin Looi Seng Kim
Hand and Microsurgery Division, Department of Orthopaedics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, Serdang, Selangor, Malaysia
Zuhri Md Yusoff
Department of Orthopaedics, Hospital Selayang, 68100, Batu Caves, Selangor Malaysia
Manohar Arumugam
Hand and Microsurgery Division, Department of Orthopaedics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, Serdang, Selangor, Malaysia
Siew Khei Liew
Hand and Microsurgery Division, Department of Orthopaedics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, Serdang, Selangor, Malaysia
Firdati Mohamed Saaid
Hand and Microsurgery Division, Department of Orthopaedics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, Serdang, Selangor, Malaysia

Abstract

A young gentleman presented with a closed fracture of the left radius and an open fracture of the left ulna complicat- ed with segmental loss of the ulnar nerve measuring 1.5cm. After thorough debridement and stabilization of the bone injuries, the ulnar nerve gap was bridged with an autologous venous graft harvested off a tributary of the basilic vein that served as a nerve conduit. At 18 months post-surgery, sensori-motor function of the patient’s left ulnar nerve was nearly fully restored, indicative of successful reconstitution of the ulnar nerve using a basilic vein tributary vein graft.

Downloads

Download data is not yet available.

Article Details

How to Cite
Seng Kim, C. L., Md Yusoff, Z., Arumugam, M., Khei Liew, S., & Mohamed Saaid, F. (2024). Ulnar Nerve Reconstruction With a Basilic Vein Tributary Graft: A Practical and Easily Replicable Technique With Favourable Outcomes. Malaysian Journal of Medicine and Health Sciences, 20(1), 389–391. https://doi.org/10.47836/mjmhs.20.1.49
Issue
Vol. 20 No. 1 (2024)
Section
Case Report
Crossref
Scopus
Google Scholar
Europe PMC

References

Sabongi R, Fernandes M, Dos Santos J. Peripheral nerve regeneration with conduits: use of vein tubes. Neural Regen Res. 2015;10(4):529-533. doi: 10.4103/1673-5374.155428

Rebowe R, Rogers A, Yang X, Kundu S, Smith T, Li Z. Nerve Repair with Nerve Conduits: Problems, Solutions, and Future Directions. J Hand Microsurg. 2018;10(2):61-65. doi:10.1055/s-0038-1626687

Strauch B, Ferder M, Lovelle-Allen S, Moore K, Kim D, Llena J. Determining the maximal length of a vein conduit used as an interposition graft for nerve regeneration. J Reconstr Microsurg. 1996;12(8):521-527. doi: 10.1055/s-2007-1006624

Lin M, Manzano G, Gupta R. Nerve allografts and conduits in peripheral nerve repair. Hand Clin. 2013;29(3):331-348. doi: 10.1016/j. hcl.2013.04.003

Chiu D, Strauch B. A prospective clinical evaluation of autogenous vein grafts used as a nerve conduit for distal sensory nerve defects of 3cm or less. Plast Reconstr Surg. 1990;86:928-934. doi: 10.1097/00006534-199011000-00015