Anatomy and Histological Reaction of Traumatized Nerves

A special comparable system of nerve trunks passes through the upper and lower limbs, which must be thoroughly understood by every physician treating peripheral nerve lesions. It is astonishing that the ramifications of nerves and the special muscles inne

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Peripheral Nerve Lesions Nerve Surgery and Secondary Reconstructive Repair

Springer-Verlag Berlin Heidelberg GmbH

G. Penkert · H. Fansa

Peripheral Nerve Lesions Nerve Surgery and Secondary Reconstructive Repair

With 359 Figures

123

ISBN 978-3-642-07939-9

Götz Penkert Prof. Dr. med. Friederikenstift Hannover Neurochirurgische Klinik Humboldtstr. 5 30169 Hannover Germany Hisham Fansa Priv.-Doz. v Dr. med. Städtische Kliniken Mitte Klinik für Plastische, Wiederherstellungsund Ästhetische Chirurgie Teutoburger Str. 50 33604 Bielefeld Germany

Library of Congress Cataloging-in-Publication Data Penkert, G. Peripheral nerve lesions: nerve surgery and secondary reconstructive repair/G. Penkert, H. Fansa. p.; cm. Includes bibliographical references and index. ISBN 978-3-642-07939-9 ISBN 978-3-662-09232-3 (eBook) DOI 10.1007/978-3-662-09232-3 1. Nerves, Peripheral–Surgery. 2. Nerves, Peripheral–Wounds and injuries–Surgery. 3. Nerves, Peripheral–Regeneration. I. Fansa, H., 1969– II. Title. [DNLM: 1. Peripheral Nerves–surgery. 2. Peripheral Nervous System– surgery. WL 500 P41lp 2004] RD595.P466 2004 617.4’83–dc22 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer-Verlag Berlin Heidelberg GmbH Violations are liable for prosecution under the German Copyright Law. springeronline.com © Springer-Verlag Berlin Heidelberg 2004 Originally published by Springer-Verlag Berlin Heidelberg New York in 2004 The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Illustrations: R. Henkel, Heidelberg Cover design: F. Steinen, eStudio Calamar, Spain Product management and layout: B. Wieland, Heidelberg Reproduction and typesetting: AM-production, Wiesloch 24/3150 – 5 4 3 2 1 0 Printed on acid-free paper

Preface

The introduction of the microscope and microsurgery in the management of surgically treated peripheral nerve lesions revolutionized the procedure, prognosis, and results in this field. Several authors have published their vast experience, and these reports have been given preference in the present work. The purpose of this book is not to add one more volume to the literature, but to help younger surgeons who are beginning their educa