Semin Neurol 2025; 45(01): 157-175
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
› Institutsangaben
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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.



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Artikel online veröffentlicht:
11. Oktober 2024

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