Nerve reconstruction in the hand and upper extremity.
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.
Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Ottawa, 1053 Carling Avenue, Ottawa, ON K1Y 4E9, Canada.
Kirsty U
KU
Boyd
André S
AS
Nimigan
Susan E
SE
Mackinnon
D006225:Hand / Q000294:innervation*; D006801:Humans; D008866:Microsurgery / Q000379:methods*; D009416:Nerve Regeneration; D016067:Nerve Transfer / Q000379:methods*; D059348:Peripheral Nerve Injuries / Q000503:physiopathology / Q000601:surgery*; D010525:Peripheral Nerves / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*