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Article |

Primary Nerve Suture

Fritz J. Cramer, MD
JAMA. 1972;219(9):1213-1216. doi:10.1001/jama.1972.03190350049027.
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To The Editor.—  The rationale for immediate primary nerve suture and delayed tendon suture was presented by Rix (217:1864, 1971) and disparaged by Raskind et al (217:1864, 1971). Rix met the objections on two bases. The first was the inadmissibility of evidence concerning the results of nerve suture drawn from collected data of war wounds with that of sharply incised nerves, in civilian circumstances.To this might be added that the nerve branches were monofunctional, sensory (not proximal nerve trunks of mixed motor and sensory functions), also that the transpired time was short and the surgical setting was ideal (unlike conditions prevailing in the evacuation of war wounded), and that the surgeon was experienced, knowledgeable, and, of great importance, he was available.As the second basis for support of the procedure, Rix quotes Seddon, who has subsequently1 reaffirmed his earlier refutation of the attitude prevailing after World


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