PMC3196346_01
(a-d) Intraoperative photographs showing the medial aspect of right upper extremity exposure with a retractor placed in the bicipital groove. (a) Photograph showing brachial artery repair with interpositional saphenous vein graft (arrows). (b) Isolated median nerve stumps with 7 cm defect (asterisks). (c-d) Sciatic nerve harvested and interposed between median nerve stumps using 6-0 Prolene suture.
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Wound exploration revealed traumatic defects in both the brachial artery and the median nerve (Figure 1(a)). The brachial artery was repaired with saphenous vein harvested from the left leg stump (Figure 1(a)). The median nerve injury (Figure 1(b)) was repaired with interpositional sciatic nerve graft (Figure 1(c)). AKA, and an 8 cm length was harvested. After median nerve stumps were trimmed, the sciatic nerve ends were trimmed and anastomosed to both median nerve ends with 6-0 Prolene sutures (Figure 1(d)).