Epineurial Suture versus Epi-perineurial Suture: A Comparative Clinical Study

概要

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There are many types of peripheral nerve suture today. The deluge of information on nerve suture contributes to the confusion about which type of suture should be selected. The purpose of our study was to compare results of epineurial suture vs. epi-perineurial suture in twenty-one patients who have median nerve injury at the wrist. These patients satisfied eleven factors that influenced nerve repair. Ten nerves were repaired by epineurial suture with 7-0 or 8-0 nylon. Eleven patients were repaired by epi-perineurial suture with 8-0, 9-0 or 10-0 nylon. All sutures were done under magnification with use of microsurgical technique. No significant differences were detected between the results of epineurial suture and epi-perineurial suture. The epineurial suture technically is less cumbersome to perform. Our results suggest that epineurial suture is more satisfactory for most of the peripheral nerve repairs.
西日本整形・災害外科学会の論文