Construction of Chinese peripheral nerve society and progress in repair and reconstruction of peripheral nerve injury_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 GU Liqiang

Division of Orthopedic Trauma, Hand and Microsurgery, Department of Orthopedics and Microsurgery, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou Guangdong, 510080, P.R.China;

Corresponding?author：

GU Liqiang, Email: guliqiang1963@aliyun.com

Keywords：

Peripheral nerve; nerve injury; nerve repair

DOI：

10.7507/1002-1892.201807020

Video：

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The peripheral nerve group of the reparative and reconstructive surgery committee (branch of Chinese association of rehabilitation medicine) was established in 1995. Major research progress has been made in the repair, regeneration, and reconstruction of peripheral nerve injury. Professor GU Yudong initiated the contralateral cervical7 root (CC7) transfer for the treatment of total brachial plexus root injury in 1986. Now this method has been applied safely and effectively for 30 years with profound progress and refinement. In addition, the repair and reconstruction of peripheral nerve injury had achieved great development such as the treatment of spastic paralysis of upper limb, CC7 transfer using a modified prespinal route, the reconstruction of bladder function after spinal cord injury, the development of acellular allograft nerve, the small gap suture technique, the functioning free gracilis muscle transplantation, and contralateral S₁ transfer which have been widely used in clinical application with good outcomes. With the progress of the biological manufacturing of peripheral nerve bio-materials and the remodeling of central nervous system after brachial plexus injury, a novel peripheral neuroscience research field was growing up. It is still a challenge for surgeons and scholars in this field to insist on the popularization and improvement of peripheral nerve repair and reconstruction by microsurgical technique, and to make efforts to transform the results of peripheral nerve research into clinical practice.

Citation： GU Liqiang. Construction of Chinese peripheral nerve society and progress in repair and reconstruction of peripheral nerve injury. Chinese Journal of Reparative and Reconstructive Surgery, 2018, 32(7): 786-791. doi: 10.7507/1002-1892.201807020 Copy

1.	顧立強, 戚劍. 周圍神經損傷臨床問題討論. 中華顯微外科雜志, 2009, 32(6): 481-487.
2.	顧立強, 戚劍. 創傷骨科周圍神經損傷臨床熱點問題討論. 中華顯微外科雜志, 2010, 33(6): 476-480.
3.	顧玉東, 張高孟, 陳德松, 等. 健側頸神經根移位術治療臂叢根性撕脫傷. 中華醫學雜志, 1989, 69(10): 563-565.
4.	顧玉東, 張高孟. 健側頸神經根合并多組神經移位治療臂叢神經根性撕脫傷. 中華顯微外科雜志, 1991, 14(3): 129-132.
5.	Gu YD. Contralateral C₇ root transfer over the last 20 years in China. Chin Med J (Engl), 2007, 120(13): 1123-1126.
6.	顧玉東. 臂叢神經損傷的分型與手術方案. 中華手外科雜志, 2011, 27(3): 131-133.
7.	顧玉東. 臂叢神經損傷修復六條原則. 中華手外科雜志, 2015, 31(5): 321.
8.	Wang SF, Yiu HW, Li PC, et al. Contralateral C₇ nerve root transfer to neurotize the upper trunk via a modified prespinal route in repair of brachial plexus avulsion injury. Microsurgery, 2012, 32(3): 183-188.
9.	Wang SF, Li PC, Xue YH, et al. Contralateral C₇ nerve transfer with direct coaptation to restore lower trunk function after traumatic brachial plexus avulsion. J Bone Joint Surg (Am), 2013, 95(9): 821-827.
10.	Li F, Wang SF, Li PC, et al. Restoration of active pick-up function in patients with total brachial plexus avulsion injuries. J Hand Surg (Eu Vol) , 2018, 43(3): 269-274.
11.	Li WJ, Wang SF, Li PC, et al. Electrophysiological study of the dominant motor innervation to the extensor digitorum communis muscle and long head of triceps brachii at posterior divisions of brachial plexus. Microsurgery, 2011, 31(7): 535-538.
12.	Yang J, Qin B, Fu G, et al. Modified pathological classification of brachial plexus root injury and its MR imaging characteristics. J Reconstr Microsurg, 2014, 30(3): 171-178.
13.	顧立強, 張德春, 向劍平, 等. 成人臂叢根性損傷臨床分型的初步研究. 中華顯微外科雜志, 2011, 34(6): 457-460.
14.	Li XM, Yang Y, Hou Y, et al. Diagnostic accuracy of three sensory tests for diagnosis of sensory disturbances. J Reconstr Microsurg, 2015, 31: 67-73.
15.	顧立強, 向劍平, 李平, 等. 健側頸 7 神經經椎體前路移位直接修復臂叢根部撕脫傷. 中華顯微外科雜志, 2008, 31(1): 33-34.
16.	Qin B, Fu G, Yang J, et al. Microanatomy of the separable length of the C₇. J Reconstr Microsurg, 2016, 32(2): 109-113.
17.	Li XM, Yang JT, Hou Y, et al. Donor-side morbidity after contralateral C-7 nerve transfer: results at a minimum of 6 months after surgery. J Neurosurg, 2016, 124(5): 1434-1441.
18.	Yang Y, Zou XJ, Fu G, et al. Neurotization of free gracillis with branch of brachial muscle to restore finger and thumb flexion in lower trunk brachial plexus lesions: anatomic study and case report. Clinics, 2016, 71(4): 193-198.
19.	顧立強, 裴國獻, 任高宏, 等. 早期股薄肌移植聯合神經移位治療全臂叢根性撕脫傷初步報告. 中華外科雜志, 2000, 38(6): 477.
20.	顧立強, 向劍平, 秦本剛, 等. 健側頸7椎體前路移位直接修復下干聯合股薄肌移植治療臂叢根部撕脫傷. 中華顯微外科雜志, 2009, 32(6): 444-447.
21.	Hou Y, Qin B, Gu L, et al. Restoration of finger and thumb movement using one-stage free muscle transplantation. J Plast Surg Hand Surg, 2016, 50(3): 130-134.
22.	Yang Y, Yang JT, Fu G, et al. Functioning free gracilis transfer to reconstruct elbow flexion and quality of life in global brachial plexus injured patients. Sci Rep, 2016, 6: 22479.
23.	Hou Y, Yang JT, Yang Y, et al. Flow-through anastomosis using a T-shaped vascular pedicle for gracilis functioning free muscle transplantation in brachial plexus injury. Clinics, 2015, 70(8): 544-549.
24.	Zhang J, Chen L, Gu YD. Changes in expressions of major histocompatibility complex class I, paired-immunoglobulin-like receptor B, and cluster of differentiation 3ζ in motor cortical representations of the brachial plexus after avulsion in rats. World Neurosurg, 2017, 106: 211-218.
25.	Ma H, Zheng MX, Lu Y, et al. Cerebral plasticity after contralateral cervical nerve transfer in human by longitudinal PET evaluation. J Clin Neurosci, 2018, 48: 95-99.
26.	Gu X, Ding F, Williams DF. Neural tissue engineering options for peripheral nerve regeneration. Biomaterial, 2014, 35(24): 6143-6156.
27.	Yi S, Xu L, Gu X. Scaffolds for peripheral nerve repair and reconstruction. Exp Neurol, 2018. [Epub ahead of print].
28.	He B, Zhu Q, Chai Y, et al. Safety and efficacy evaluation of a human acellular nerve graft as a digital nerve scaffold: a prospective, multicentre controlled clinical trial. J Tissue Eng Regen Med, 2015, 9(3): 286-295.
29.	Zhu S, Liu J, Zheng C, et al. Analysis of human acellular nerve allograft reconstruction of 64 injured nerves in the hand and upper extremity: a 3 year follow-up study. J Tissue Eng Regen Med, 2017, 11(8): 2314-2322.
30.	Yan L, Guo Y, Qi J, et al. Iodine and freeze-drying enhanced high-resolution MicroCT imaging for reconstructing 3D intraneural topography of human peripheral nerve fascicles. J Neurosci Methods, 2017, 287: 58-67.
31.	Kou Y, Peng J, Wu Z, et al. Small gap sleeve bridging can improve the accuracy of peripheral nerve selective regeneration. Artif Cells Nanomed Biotechnol, 2013, 41(6): 402-407.
32.	Zhang PX, Han N, Kou YH, et al. Peripheral nerve intersectional repair by bi-directional induction and systematic remodeling: biodegradable conduit tubulization from basic research to clinical application. Artif Cells Nanomed Biotechnol, 2017, 45(8): 1464-1466.
33.	Lin HD, Hou CL. Transfer of normal S₁ nerve root to reinnervate atonic bladder due to conus medullaris injury. Muscle Nerve, 2013, 47(2): 241-245.
34.	Zheng MX, Hua XY, Feng JT, et al. Trial of contralateral seventh cervical nerve transfer for spastic arm paralysis. New Engl J Med, 2018, 378(1): 22-34.
35.	Li YC, Lin HD, Zhao L, et al. Unaffected contralateral S₁ transfer for the treatment of lumbosacral plexus avulsion. Injury, 2014, 45(6): 1015-1018.
36.	Sachanandani NF, Pothula A, Tung TH. Nerve gaps. Plast Reconstr Surg, 2014, 133(2): 313-319.
37.	Grinsell G, Keating CP. Peripheral nerve reconstruction after injury: a review of clinical and experimental therapies. Biomed Res Int, 2014, 2014: 698256.

1. 顧立強, 戚劍. 周圍神經損傷臨床問題討論. 中華顯微外科雜志, 2009, 32(6): 481-487.
2. 顧立強, 戚劍. 創傷骨科周圍神經損傷臨床熱點問題討論. 中華顯微外科雜志, 2010, 33(6): 476-480.
3. 顧玉東, 張高孟, 陳德松, 等. 健側頸神經根移位術治療臂叢根性撕脫傷. 中華醫學雜志, 1989, 69(10): 563-565.
4. 顧玉東, 張高孟. 健側頸神經根合并多組神經移位治療臂叢神經根性撕脫傷. 中華顯微外科雜志, 1991, 14(3): 129-132.
5. Gu YD. Contralateral C₇ root transfer over the last 20 years in China. Chin Med J (Engl), 2007, 120(13): 1123-1126.
6. 顧玉東. 臂叢神經損傷的分型與手術方案. 中華手外科雜志, 2011, 27(3): 131-133.
7. 顧玉東. 臂叢神經損傷修復六條原則. 中華手外科雜志, 2015, 31(5): 321.
8. Wang SF, Yiu HW, Li PC, et al. Contralateral C₇ nerve root transfer to neurotize the upper trunk via a modified prespinal route in repair of brachial plexus avulsion injury. Microsurgery, 2012, 32(3): 183-188.
9. Wang SF, Li PC, Xue YH, et al. Contralateral C₇ nerve transfer with direct coaptation to restore lower trunk function after traumatic brachial plexus avulsion. J Bone Joint Surg (Am), 2013, 95(9): 821-827.
10. Li F, Wang SF, Li PC, et al. Restoration of active pick-up function in patients with total brachial plexus avulsion injuries. J Hand Surg (Eu Vol) , 2018, 43(3): 269-274.
11. Li WJ, Wang SF, Li PC, et al. Electrophysiological study of the dominant motor innervation to the extensor digitorum communis muscle and long head of triceps brachii at posterior divisions of brachial plexus. Microsurgery, 2011, 31(7): 535-538.
12. Yang J, Qin B, Fu G, et al. Modified pathological classification of brachial plexus root injury and its MR imaging characteristics. J Reconstr Microsurg, 2014, 30(3): 171-178.
13. 顧立強, 張德春, 向劍平, 等. 成人臂叢根性損傷臨床分型的初步研究. 中華顯微外科雜志, 2011, 34(6): 457-460.
14. Li XM, Yang Y, Hou Y, et al. Diagnostic accuracy of three sensory tests for diagnosis of sensory disturbances. J Reconstr Microsurg, 2015, 31: 67-73.
15. 顧立強, 向劍平, 李平, 等. 健側頸 7 神經經椎體前路移位直接修復臂叢根部撕脫傷. 中華顯微外科雜志, 2008, 31(1): 33-34.
16. Qin B, Fu G, Yang J, et al. Microanatomy of the separable length of the C₇. J Reconstr Microsurg, 2016, 32(2): 109-113.
17. Li XM, Yang JT, Hou Y, et al. Donor-side morbidity after contralateral C-7 nerve transfer: results at a minimum of 6 months after surgery. J Neurosurg, 2016, 124(5): 1434-1441.
18. Yang Y, Zou XJ, Fu G, et al. Neurotization of free gracillis with branch of brachial muscle to restore finger and thumb flexion in lower trunk brachial plexus lesions: anatomic study and case report. Clinics, 2016, 71(4): 193-198.
19. 顧立強, 裴國獻, 任高宏, 等. 早期股薄肌移植聯合神經移位治療全臂叢根性撕脫傷初步報告. 中華外科雜志, 2000, 38(6): 477.
20. 顧立強, 向劍平, 秦本剛, 等. 健側頸7椎體前路移位直接修復下干聯合股薄肌移植治療臂叢根部撕脫傷. 中華顯微外科雜志, 2009, 32(6): 444-447.
21. Hou Y, Qin B, Gu L, et al. Restoration of finger and thumb movement using one-stage free muscle transplantation. J Plast Surg Hand Surg, 2016, 50(3): 130-134.
22. Yang Y, Yang JT, Fu G, et al. Functioning free gracilis transfer to reconstruct elbow flexion and quality of life in global brachial plexus injured patients. Sci Rep, 2016, 6: 22479.
23. Hou Y, Yang JT, Yang Y, et al. Flow-through anastomosis using a T-shaped vascular pedicle for gracilis functioning free muscle transplantation in brachial plexus injury. Clinics, 2015, 70(8): 544-549.
24. Zhang J, Chen L, Gu YD. Changes in expressions of major histocompatibility complex class I, paired-immunoglobulin-like receptor B, and cluster of differentiation 3ζ in motor cortical representations of the brachial plexus after avulsion in rats. World Neurosurg, 2017, 106: 211-218.
25. Ma H, Zheng MX, Lu Y, et al. Cerebral plasticity after contralateral cervical nerve transfer in human by longitudinal PET evaluation. J Clin Neurosci, 2018, 48: 95-99.
26. Gu X, Ding F, Williams DF. Neural tissue engineering options for peripheral nerve regeneration. Biomaterial, 2014, 35(24): 6143-6156.
27. Yi S, Xu L, Gu X. Scaffolds for peripheral nerve repair and reconstruction. Exp Neurol, 2018. [Epub ahead of print].
28. He B, Zhu Q, Chai Y, et al. Safety and efficacy evaluation of a human acellular nerve graft as a digital nerve scaffold: a prospective, multicentre controlled clinical trial. J Tissue Eng Regen Med, 2015, 9(3): 286-295.
29. Zhu S, Liu J, Zheng C, et al. Analysis of human acellular nerve allograft reconstruction of 64 injured nerves in the hand and upper extremity: a 3 year follow-up study. J Tissue Eng Regen Med, 2017, 11(8): 2314-2322.
30. Yan L, Guo Y, Qi J, et al. Iodine and freeze-drying enhanced high-resolution MicroCT imaging for reconstructing 3D intraneural topography of human peripheral nerve fascicles. J Neurosci Methods, 2017, 287: 58-67.
31. Kou Y, Peng J, Wu Z, et al. Small gap sleeve bridging can improve the accuracy of peripheral nerve selective regeneration. Artif Cells Nanomed Biotechnol, 2013, 41(6): 402-407.
32. Zhang PX, Han N, Kou YH, et al. Peripheral nerve intersectional repair by bi-directional induction and systematic remodeling: biodegradable conduit tubulization from basic research to clinical application. Artif Cells Nanomed Biotechnol, 2017, 45(8): 1464-1466.
33. Lin HD, Hou CL. Transfer of normal S₁ nerve root to reinnervate atonic bladder due to conus medullaris injury. Muscle Nerve, 2013, 47(2): 241-245.
34. Zheng MX, Hua XY, Feng JT, et al. Trial of contralateral seventh cervical nerve transfer for spastic arm paralysis. New Engl J Med, 2018, 378(1): 22-34.
35. Li YC, Lin HD, Zhao L, et al. Unaffected contralateral S₁ transfer for the treatment of lumbosacral plexus avulsion. Injury, 2014, 45(6): 1015-1018.
36. Sachanandani NF, Pothula A, Tung TH. Nerve gaps. Plast Reconstr Surg, 2014, 133(2): 313-319.
37. Grinsell G, Keating CP. Peripheral nerve reconstruction after injury: a review of clinical and experimental therapies. Biomed Res Int, 2014, 2014: 698256.

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