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Clinical evaluation of a hyaluronan-based gel following microsurgical reconstruction of peripheral nerves of the hand

✍ Scribed by Andrea Atzei; Maurizio Calcagni; Bruno Breda; Giampaolo Fasolo; Giorgio Pajardi; Landino Cugola


Publisher
John Wiley and Sons
Year
2007
Tongue
English
Weight
127 KB
Volume
27
Category
Article
ISSN
0738-1085

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✦ Synopsis


Abstract

A controlled clinical trial was performed to investigate the safety and efficacy of the hyaluronate‐based gel polymer Hyaloglide® after microsurgical reconstruction of peripheral nerves of the hand. Thirty patients were randomized to receive either no postsurgical treatment (n = 16) or Hyaloglide® (n = 14) and were clinically evaluated at various intervals for 1 year. The application of Hyaloglide® posed no safety concerns. Efficacy was assessed by the recovery of sensitivity, measurement of pain, and progression of Tinel's sign. The Hyaloglide®‐treated group showed better improvement in recovery from pain, approaching statistical significance during the first 3 months postsurgery. Likewise, recovery of sensitivity was also higher in the Hyaloglide®‐treated group throughout the entire follow‐up period, and the distance of Tinel's sign was longer in the Hyaloglide®‐treated group (P < 0.05 at day 30). The application of Hyaloglide® may improve recovery of sensitivity and decrease pain following microsurgical repair of the peripheral nerves of the hand. © 2007 Wiley‐Liss, Inc. Microsurgery 27, 2007.


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