Peripheral Nerve Injury -Repair and Reconstruction-Nerve Transfers for the Upper Extremity: New Horizons in Nerve Reconstruction

Nerve Transfers for the Upper Extremity: New Horizons in Nerve Reconstruction

Pdf Summary

Nerve transfers are an important technique in brachial plexus and complex nerve reconstruction. They offer several advantages such as shortening the distance for nerve regeneration, the ability to select specific motor or sensory nerves as donors, and reducing the need for nerve grafts. There are different types of nerve transfers including intraplexal, extraplexal, and distal transfers, each with a unique role in reconstruction. Careful diagnostic workup and intraoperative assessment are essential for guiding the surgeon in their use. Nerve transfers have improved outcomes in nerve surgery and are essential tools in complex nerve reconstruction. Several pioneers have contributed to the development of nerve transfers, with the technique becoming increasingly important in recent years. The success of nerve transfers depends on a variety of factors including the indication for the transfer, the time between injury and reinnervation, and the strength of the donor nerve. Nerve transfers have proven to be highly effective for restoring motor and sensory function in the upper extremity. In particular, transfers for elbow flexion, shoulder stabilization, and scapular stabilization have demonstrated positive outcomes. Sensory transfers have also been effective in restoring sensibility and reducing neuropathic pain. Overall, nerve transfers offer a promising approach to nerve reconstruction and have the potential to significantly improve patient outcomes.

Keywords

nerve transfers

brachial plexus

complex nerve reconstruction

nerve regeneration

specific motor nerves

sensory nerves

nerve grafts

intraplexal transfers

extraplexal transfers

distal transfers