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J Reconstr Microsurg 1993; 9(2): 81-89
DOI: 10.1055/s-2007-1006656
ORIGINAL ARTICLE

© 1993 by Thieme Medical Publishers, Inc.

Direct Muscle Neurotization

Giorgio A. Brunelli, Giovanni R. Brunelli
  • Orthopedic Clinic, University of Brescia, Italy
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Publication History

Accepted for publication 1992

Publication Date:
08 March 2008 (online)

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ABSTRACT

The results of experimental research, as well as of a large clinical series (n = 51) of direct muscle neurotization, have been encouraging enough to warrant extending the indications for the procedure to patients in whom traditional repair by direct nerve suture or nerve graft is impossible, because of the lack of a distal nerve segment, or because of destruction of the neural portion of one or more muscle groups. Prerequisites include a satisfactory volume of muscle with sufficient vascularity and adequate postoperative joint and muscle immobilization.