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Clinical experience with end-to-side nerve transfer.

C Pienaar1, M C Swan, W De Jager

  • 1Martin Singer Hand Unit, Groote Schuur Hospital, University of Cape Town, Cape Town, Republic of South Africa.

Journal of Hand Surgery (Edinburgh, Scotland)
|September 1, 2004
PubMed
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End-to-side nerve transfer showed limited effectiveness for peripheral nerve repair. This study found no objective motor recovery and minimal sensory improvement, leading to the abandonment of this technique.

Area of Science:

  • Neurosurgery
  • Peripheral Nerve Surgery

Background:

  • Peripheral nerve injuries require effective surgical repair.
  • End-to-side nerve transfer is a reconstructive technique.
  • Its clinical efficacy remains under investigation.

Purpose of the Study:

  • To evaluate the effectiveness of end-to-side nerve transfer for peripheral nerve lesions.
  • To assess functional recovery outcomes following this surgical approach.

Main Methods:

  • Retrospective study of 20 patients with peripheral nerve lesions.
  • 23 end-to-side nerve transfers performed over 15 months.
  • Follow-up of 10 patients for a mean of 16 months.

Main Results:

  • No objective motor recovery observed in any patient.

Related Experiment Videos

  • Four patients regained deep protective sensation.
  • Two patients experienced donor nerve morbidity.

    • Conclusions:

    • End-to-side nerve transfer demonstrated poor outcomes for motor function.
    • The technique was abandoned in favor of nerve grafting.
    • Further research into optimal nerve repair strategies is warranted.