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Traumatic Peripheral Nerve Injury in Mice
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Long-Term Outcomes following Pediatric Peripheral Nerve Injury Repair.

Benjamin Langridge1, Michelle F Griffin1,2,3, M A Akhavani1

  • 1Department of Plastic Surgery, Royal Free Hospital, London, United Kingdom.

Journal of Hand and Microsurgery
|April 14, 2020
PubMed
Summary

Pediatric peripheral nerve repair shows excellent outcomes, with 95.4% of patients achieving sensorimotor recovery. Early surgical exploration and repair, even within 48 hours, are recommended for optimal results in children with nerve injuries.

Keywords:
digital nervefunctionalhand surgerylong termoutcomepediatricperipheral nerve injury

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Area of Science:

  • Pediatric Surgery
  • Neurology
  • Orthopedics

Background:

  • Peripheral nerve injuries in children are rare and difficult to diagnose.
  • Limited data exists on long-term outcomes after surgical repair in pediatric patients.
  • This study analyzes long-term sensorimotor and functional outcomes of pediatric peripheral nerve repair.

Purpose of the Study:

  • To evaluate the long-term sensorimotor and functional outcomes of pediatric peripheral nerve repair.
  • To identify factors influencing recovery after surgical intervention.
  • To provide evidence-based recommendations for the management of pediatric peripheral nerve injuries.

Main Methods:

  • Retrospective analysis of 108 pediatric patients with peripheral nerve injuries requiring surgical repair.
  • Data collected included procedure type, time to surgery, injury mechanism, and postoperative recovery.
  • 87 patients were included in the final analysis.

Main Results:

  • 83 out of 87 patients (95.4%) achieved partial or complete sensorimotor recovery.
  • Minor complications occurred in 10.3% of patients and were managed conservatively.
  • Injury mechanisms included lacerations and crush injuries; younger age correlated with better recovery.

Conclusions:

  • Surgical repair combined with hand therapy yields excellent functional outcomes in pediatric peripheral nerve injuries.
  • A low threshold for surgical exploration and repair is advised, especially with diagnostic uncertainty.
  • Optimal sensorimotor recovery can be achieved with repair within 48 hours, though timing is patient-dependent.