Nerve Reconstruction in the Hand and Upper Extremity

Kirsty U. Boyd, André S. Nimigan, Susan E. Mackinnon

Research output: Contribution to journalReview article

57 Scopus citations

Abstract

In the management of traumatic peripheral nerve injuries, the severity or degree of injury dictates the decision making between surgical management versus conservative management and serial examination. This review explores some of the recent literature, specifically addressing recent basic science advances in end-to-side and reverse end-to-side recovery, Schwann cell migration, and neuropathic pain. The management of nerve gaps, including the use of nerve conduits and acellularized nerve allografts, is examined. Current commonly performed nerve transfers are detailed with focus on both motor and sensory nerve transfers, their indications, and a basic overview of selected surgical techniques.

Original languageEnglish
Pages (from-to)643-660
Number of pages18
JournalClinics in Plastic Surgery
Volume38
Issue number4
DOIs
StatePublished - Oct 1 2011

Keywords

  • Hand
  • Nerve reconstruction
  • Surgical management
  • Upper extremity

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