日本マイクロサージャリー学会会誌
Online ISSN : 2185-9949
Print ISSN : 0916-4936
ISSN-L : 2185-9949
特集:神経修復の多様性
人工神経の開発経緯と有効な使用法
岡本 秀貴川口 洋平上用 祐士五十棲 秀幸服部 勇介武田 真輔
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ジャーナル 認証あり

2023 年 36 巻 3 号 p. 92-97

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  Conventionally, autologous nerve transplantation has been used to treat peripheral nerve defects. Since the 1890s, studies on peripheral nerve reconstruction by tubulization have been performed because of sensory disturbance at the donor site and limited supply of donors. This study introduces the history of the development of artificial nerves in Japan and worldwide and the clinical results of Japanese-made artificial nerves (Nerbridge and Renerve) , which are used in Japan. Nerbridge and Renerve are excellent artificial nerves that are used according to the operator’s ease of use, site to be transplanted, and defect size. Artificial nerve transplantation is a good indication if the nerve ends cannot be connected without tension due to peripheral nerve injury. The finger is the most susceptible site for peripheral nerve injury. If the gap between the peripheral nerve stumps is ≥ 1 mm in the extended finger position, artificial nerve grafting should be performed.

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