End-to-side neurorrhaphies to the ulnar and median nerves at the wrist: Report of two cases without sensory or motor improvement

Kayikcioglu A., Karamursel S., Agaoglu G., Kecik A., Celiker R. , Cetin A.

ANNALS OF PLASTIC SURGERY, vol.45, no.6, pp.641-643, 2000 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 45 Issue: 6
  • Publication Date: 2000
  • Title of Journal : ANNALS OF PLASTIC SURGERY
  • Page Numbers: pp.641-643


The authors present two unsuccessful clinical cases of end-to-side neurorrhaphy. In the first patient the distal median nerve was coapted in an end-to-side manner to the intact ulnar nerve. In the other patient four cables of sural nerve graft were used to bridge the ulnar nerve and the intact median nerve by two end-to-side coaptations. Neurorrhaphies were performed via epineural sutures through epineural windows. Both of the cases failed to demonstrate any signs of regeneration either clinically or as evidenced by electromyography, Semmes-Weinstein monofilament test, or 256-Hz vibration tests at 18 and 21 months' follow-up respectively.