Nerve Magnified Regeneration by Distal Nerve Transfer in High Ulnar Nerve Injury

Authors

  • Kalin Angelov Clinic of Orthopedics, Traumatology, Surgery of the Hand and Reconstructive Surgery, University Multiprofile Hospital for Active Treatment “Sofiamed”, Bulgaria
  • Iliyana Marcheva Clinic of Orthopedics, Traumatology, Surgery of the Hand and Reconstructive Surgery, University Multiprofile Hospital for Active Treatment “Sofiamed”, Bulgaria
  • Elena Apostolu Clinic of Orthopedics, Traumatology, Surgery of the Hand and Reconstructive Surgery, University Multiprofile Hospital for Active Treatment “Sofiamed”, Bulgaria
  • Nikola Simeonov Clinic of Orthopedics, Traumatology, Surgery of the Hand and Reconstructive Surgery, University Multiprofile Hospital for Active Treatment “Sofiamed”, Bulgaria
  • Margarita Kateva Clinic of Orthopedics, Traumatology, Surgery of the Hand and Reconstructive Surgery, University Multiprofile Hospital for Active Treatment “Sofiamed”, Bulgaria

DOI:

https://doi.org/10.7546/CRABS.2024.04.17

Keywords:

high ulnar nerve injury, nerve-magnified regeneration, nerve transfer

Abstract

The concept of nerve-magnified regeneration, part of which is end-to-side nerve transfer, provides a theoretical basis for the treatment of high ulnar nerve injuries. High injury to the ulnar nerve causes severe consequences, such as loss of sensation, loss of movement and “claw hand” deformity, affecting the fine motor skills of the hand. A method of nerve-magnified regeneration – distal nerve transfer – interosseous anterior (median nerve) to the deep ulnar nerve at the wrist level is presented, used in 20 patients (2 to 66 years of age) with an average follow-up period of 3 years (10 months to 5 years). This is a microsurgical method for rapid re-innervation of the most distal hand muscles in proximal neurotmesis of ulnar nerve.

Author Biographies

Kalin Angelov, Clinic of Orthopedics, Traumatology, Surgery of the Hand and Reconstructive Surgery, University Multiprofile Hospital for Active Treatment “Sofiamed”, Bulgaria

Mailing Address:
Clinic of Orthopedics, Traumatology,
Surgery of the Hand and Reconstructive Surgery,
University Multiprofile Hospital
for Active Treatment “Sofiamed”,
16 G. M. Dimitrov Blvd,
1797 Sofia, Bulgaria

E-mail: kangelov_md@yahoo.com

Iliyana Marcheva, Clinic of Orthopedics, Traumatology, Surgery of the Hand and Reconstructive Surgery, University Multiprofile Hospital for Active Treatment “Sofiamed”, Bulgaria

Mailing Address:
Clinic of Orthopedics, Traumatology,
Surgery of the Hand and Reconstructive Surgery,
University Multiprofile Hospital
for Active Treatment “Sofiamed”,
16 G. M. Dimitrov Blvd,
1797 Sofia, Bulgaria

E-mail: iliyana.marcheva@abv.bg

Elena Apostolu, Clinic of Orthopedics, Traumatology, Surgery of the Hand and Reconstructive Surgery, University Multiprofile Hospital for Active Treatment “Sofiamed”, Bulgaria

Mailing Address:
Clinic of Orthopedics, Traumatology,
Surgery of the Hand and Reconstructive Surgery,
University Multiprofile Hospital
for Active Treatment “Sofiamed”,
16 G. M. Dimitrov Blvd,
1797 Sofia, Bulgaria

E-mail: eli_a.a@abv.bg

Nikola Simeonov, Clinic of Orthopedics, Traumatology, Surgery of the Hand and Reconstructive Surgery, University Multiprofile Hospital for Active Treatment “Sofiamed”, Bulgaria

Mailing Address:
Clinic of Orthopedics, Traumatology,
Surgery of the Hand and Reconstructive Surgery,
University Multiprofile Hospital
for Active Treatment “Sofiamed”,
16 G. M. Dimitrov Blvd,
1797 Sofia, Bulgaria

E-mail: nikk_simeonov@abv.bg

Margarita Kateva, Clinic of Orthopedics, Traumatology, Surgery of the Hand and Reconstructive Surgery, University Multiprofile Hospital for Active Treatment “Sofiamed”, Bulgaria

Mailing Address:
Clinic of Orthopedics, Traumatology,
Surgery of the Hand and Reconstructive Surgery,
University Multiprofile Hospital
for Active Treatment “Sofiamed”,
16 G. M. Dimitrov Blvd,
1797 Sofia, Bulgaria

E-mail: mkateff@mail.bg

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Published

26-04-2024

How to Cite

[1]
K. Angelov, I. Marcheva, E. Apostolu, N. Simeonov, and M. Kateva, “Nerve Magnified Regeneration by Distal Nerve Transfer in High Ulnar Nerve Injury”, C. R. Acad. Bulg. Sci. , vol. 77, no. 4, pp. 609–617, Apr. 2024.

Issue

Section

Medicine