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Semin Neurol
DOI: 10.1055/s-0044-1791665
Review Article

An Updated Evaluation of the Management of Nerve Gaps: Autografts, Allografts, and Nerve Transfers

Anna Rose Johnson
1   Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, Missouri
,
Abdullah Said
1   Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, Missouri
,
Jesus Acevedo
1   Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, Missouri
,
Ruby Taylor
1   Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, Missouri
,
Kitty Wu
2   Division of Hand and Microvascular Surgery, Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota
,
Wilson Z. Ray
3   Department of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri
,
J. Megan Patterson
4   Department of Orthopedic Surgery, University of North Carolina, Chapel Hill, North Carolina
,
Susan E. Mackinnon
1   Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, Missouri
› Author Affiliations
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Abstract

Within the past decade, there have been multiple innovations in the field of nerve surgery. In this review, we highlight critical changes and innovations that have helped advance the field and present opportunities for further study. This includes the modification and clarification of the classification schema for nerve injuries which informs prognosis and treatment, and a refined understanding and application of electrodiagnostic studies to guide patient selection. We provide indications for operative intervention based on this nerve injury classification and propose strategies best contoured for varying injury presentations at differing time points. Lastly, we discuss new developments in surgical techniques and approaches based on these advancements.

Keyword

nerve repair - nerve autograft - acellular nerve allografts - nerve transfers


Publication History

Article published online:
11 October 2024

© 2024. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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