Principles of nerve repair in complex wounds of the upper extremity

Amy M. Moore, I. Janelle Wagner, Ida K. Fox

Research output: Contribution to journalReview articlepeer-review

36 Scopus citations

Abstract

Peripheral nerve injuries are common in the setting of complex upper extremity trauma. Early identification of nerve injuries and intervention is critical for maximizing return of function. In this review, the principles of nerve injury, patient evaluation, and surgical management are discussed. An evidence-based approach to nerve reconstruction is reviewed, including the benefits and limitations of direct repair and nerve gap reconstruction with the use of autografts, processed nerve allografts, and conduits. Further, the principles and indications of commonly used nerve transfers in proximal nerve injuries are also addressed.

Original languageEnglish
Pages (from-to)40-47
Number of pages8
JournalSeminars in Plastic Surgery
Volume29
Issue number1
DOIs
StatePublished - Feb 2015

Keywords

  • mutilating injury of the hand
  • nerve conduit
  • nerve transfer
  • peripheral nerve injury
  • processed nerve allograft
  • upper extremity trauma

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