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Structured Motor Rehabilitation After Selective Nerve Transfers
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Nerve Transfers-A Paradigm Shift in the Reconstructive Ladder.

Leahthan F Domeshek1, Christine B Novak2, J Megan M Patterson3

  • 1Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, MO.

Plastic and Reconstructive Surgery. Global Open
|October 19, 2019
PubMed
Summary

Nerve transfers are increasingly used for nerve injuries, with motor transfers gaining more traction than sensory ones. This technique offers a valuable addition to nerve repair and grafting for better patient outcomes.

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Reconstructive Surgery

Background:

  • Nerve injuries pose significant challenges in restoring function.
  • Traditional methods include nerve repair and nerve grafting.
  • The evolution of surgical techniques necessitates evaluating newer approaches.

Purpose of the Study:

  • To review the current role of nerve transfers in managing nerve injuries.
  • To compare the outcomes of nerve grafts versus nerve transfers.
  • To assess the adoption and experience of nerve transfers among surgeons.

Main Methods:

  • Literature review of nerve graft versus nerve transfer outcomes.
  • Survey of surgical societies' members on nerve transfer experience and adoption.
  • Meta-analyses and systematic reviews of motor nerve transfers for shoulder and elbow function.

Main Results:

  • Publications on nerve transfers have significantly increased compared to nerve graft or repair articles.
  • Surgeon surveys indicate a rise in nerve transfer adoption, particularly for motor functions.
  • Meta-analyses show variable outcomes for motor nerve transfers, highlighting the importance of donor nerve selection.

Conclusions:

  • Nerve transfer is a logical advancement in nerve reconstruction, complementing existing methods.
  • Comprehensive patient assessment is crucial for selecting the optimal surgical strategy.
  • A combination of surgical options may be necessary for optimal outcomes in complex nerve injuries.