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Updated: Jun 28, 2026

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Published on: August 11, 2016
Nerve fiber transfer by end-to-side coaptation
Hanno Millesi1, Robert Schmidhammer
1Millesi Center, Vienna Private Clinic, Pelikangasse 15, A-1090 Vienna, Austria. millesi@wpk.at
End-to-side coaptation shows potential for nerve fiber transfer in brachial plexus surgery. This technique offers a promising approach to improving outcomes in peripheral nerve repair, addressing ongoing surgical controversies.
Area of Science:
- Neurosurgery
- Peripheral Nerve Surgery
Background:
- Brachial plexus injuries often require complex surgical repair.
- End-to-side coaptation is a debated technique for nerve reconstruction.
Purpose of the Study:
- To clarify the controversy surrounding end-to-side coaptation in brachial plexus surgery.
- To present clinical results and insights on nerve fiber transfer using this method.
Main Methods:
- Convened a 2006 symposium with leading surgeons and researchers.
- Collected data and insights from symposium participants.
- Presented authors' clinical findings and concepts.
Main Results:
- Gathered expert opinions on end-to-side coaptation.
- Illustrated the potential of nerve fiber transfer via end-to-side coaptation.
- Provided clinical evidence supporting the technique's utility.
Conclusions:
- End-to-side coaptation offers a viable strategy for brachial plexus reconstruction.
- Further research and clinical application can refine nerve fiber transfer techniques.
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