title: Principles of nerve repair in complex wounds of the upper extremity.
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.
authors: Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri.
authors: Amy M
authors: AM
authors: Moore
authors: Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri.
authors: I Janelle
authors: IJ
authors: Wagner
authors: Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri.
authors: Ida K
authors: IK
authors: Fox
keywords: mutilating injury of the hand; nerve conduit; nerve transfer; peripheral nerve injury; processed nerve allograft; upper extremity trauma