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Management of Peripheral Nerve Defects: External Fixator- Assisted Primary Neurorrhaphy by David S. Ruch, D. Nicole Deal, Jianjun Ma, Adam M. Smith, Jason.

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Presentation on theme: "Management of Peripheral Nerve Defects: External Fixator- Assisted Primary Neurorrhaphy by David S. Ruch, D. Nicole Deal, Jianjun Ma, Adam M. Smith, Jason."— Presentation transcript:

1 Management of Peripheral Nerve Defects: External Fixator- Assisted Primary Neurorrhaphy by David S. Ruch, D. Nicole Deal, Jianjun Ma, Adam M. Smith, Jason A. Castle, Francis O. Walker, Eileen V. Martin, Jonathan S. Yoder, Julia T. Rushing, Thomas L. Smith, and L. Andrew Koman J Bone Joint Surg Am Volume 86(7):1405-1413 July 1, 2004 ©2004 by The Journal of Bone and Joint Surgery, Inc.

2 A, Anterior view of the elbow, demonstrating the placement of the fixator and the location of the nerve gap. David S. Ruch et al. J Bone Joint Surg Am 2004;86:1405- 1413 ©2004 by The Journal of Bone and Joint Surgery, Inc.

3 Cross-sectional histological images of specimens from (a) the control group (obtained proximal to the repair site), (b) the group treated with end-to-end repair with gradual distraction (obtained distal to the repair site), (c) the group treated with a cabl... David S. Ruch et al. J Bone Joint Surg Am 2004;86:1405- 1413 ©2004 by The Journal of Bone and Joint Surgery, Inc.

4 Confocal microscopic images, made at six months, showing the neuromuscular junction in (a) the control group, (b) the group treated with end-to-end repair with gradual distraction, (c) the group treated with a cable graft, and (d) the group treated with end... David S. Ruch et al. J Bone Joint Surg Am 2004;86:1405- 1413 ©2004 by The Journal of Bone and Joint Surgery, Inc.


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