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Updated: Jun 28, 2026

Structured Motor Rehabilitation After Selective Nerve Transfers
Published on: August 15, 2019
Nerve transfers in the forearm and hand
Justin M Brown1, Susan E Mackinnon
1Department of Neurological Surgery, Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8057, St. Louis, MO 63110-1093, USA. brownjm@nsurg.wustl.edu
Distal nerve transfers offer superior forearm and hand reconstruction compared to traditional grafting. This method restores both motor and sensory function by utilizing identified nerve pathways.
Area of Science:
- Orthopedic Surgery
- Neurosurgery
- Reconstructive Surgery
Background:
- Tendon transfers in the forearm leverage functional anatomy to improve outcomes.
- Traditional nerve grafting can be less effective for restoring function.
Purpose of the Study:
- To present nerve transfer options for reconstructing motor and sensory deficits in the forearm and hand.
- To highlight the advantages of nerve transfers over traditional grafting.
Main Methods:
- Identifying vital and expendable functions in the forearm.
- Applying principles of tendon transfers to nerve reconstruction.
- Detailing specific distal nerve transfer techniques for various nerve distributions.
Main Results:
- Nerve transfers provide a superior reconstructive option compared to nerve grafting.
- Restoration of both motor and sensory function is achievable through targeted nerve transfers.
Conclusions:
- Distal nerve transfers are an effective strategy for managing forearm and hand nerve deficits.
- This approach maximizes functional recovery and minimizes disability.
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