Management of large peripheral nerve defects with autografting. (December 2019)

• Record Type: Journal Article
• Authors: Geissler, J.; Stevanovic, M.
• Is Part Of: Injury. Volume 50(2019)Supplement 5
• Page Start: S64
• Page End: S67
• Publication Date: 2019-12
• Subjects: Nerve injury -- Autograft -- Allograft -- Arthrodesis -- Tendon transfers -- Nerve transfers -- Free functional muscle transfers; Wounds and injuries -- Surgery -- Periodicals; Accidents -- Periodicals; Wounds and Injuries -- surgery -- Periodicals; Lésions et blessures -- Chirurgie -- Périodiques; Electronic journals; Electronic journals; 617.1
• DOI: 10.1016/j.injury.2019.10.051
• Languages: English
• ISSNs: 0020-1383

Abstract

Abstract: Introduction: A segmental nerve defect from trauma results in significant loss of function of the extremity, and rarely occurs in isolation. Autografting of the nerve defect is the current gold standard. Methods: A review of the recent literature regarding peripheral nerve defects after trauma treated with autograft. Results: Identification of the zone of nerve injury is difficult and appropriate resection is critical for good outcomes. Meaningful recovery is more likely with application of excellent technique. Many of the factors affecting outcomes are not modifiable. Conclusion: Nerve grafting for segmental nerve injuries continues to be an essential and appropriate treatment.