Microsurgical Anastomosis of Median and Ulnar Nerve by Sural Nerve Grafting

Abstract

The young to the middle-aged group is most affected in peripheral nerve injuries (PNI) and male gender shows predominance among the patients. Upper extremities are most likely to get injured which is three-fourth of total patients. This case report is about repairing of median and ulnar nerve by autologous sural nerve grafting. A 28-year-old man had an alleged history of a stab wound at his right arm 3 months ago. He had clinical features of complete injury of his right ulnar and median nerve. Nerve electrophysiology and magnetic resonance imaging also supported the diagnosis. Neuromas were formed in both the upper ends and the gap between the ends was more than 2 centimetres. The nerve was repaired under an operating microscope by sural nerve and musculocutaneous nerve grafting with very thin monofilament suture. His postoperative recovery was uneventful. Sensory recovery was earlier than motor recovery.