Full title: Conduit Nerve approximation versus Neurorrhaphy Evaluation of Clinical outcome Trial
Aim: find out which of the three methods of nerve repair provides best results and provide lower rate of complications from the surgery.
- Stitching injured nerve ends directly together.
- Stitching nerve ends directly together and placing a nerve conduit around it.
- Placing the injured nerve ends together without stitches and using the nerve conduit to maintain their position and heal
Background: a nerve injury is repaired by joining the two cut ends of the nerve with stitches using a microscope. Recently there are published data suggesting that a nerve conduit (a flexible tube used to bridge between the two ends of a cut nerve) may protect a repaired neve or reduce scar formation at the site of repair. The newer technique would mean either you may have a repair under the microscope and have a nerve conduit placed over the repair or have a nerve conduit placed without the repair of the nerve but with a few sutures at the ends.