Author/Authors :
Galanakos, Spyridon P. ATTIKON University Hospital - Athens University Medical School, Athens, Greece , Mavrogenis, Andreas F. ATTIKON University Hospital - Athens University Medical School, Athens, Greece , Vottis, Christos ATTIKON University Hospital - Athens University Medical School, Athens, Greece , Macheras, George A. ATTIKON University Hospital - Athens University Medical School, Athens, Greece , Ignatiadis, Ioannis ATTIKON University Hospital - Athens University Medical School, 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.
Level of evidence: V
