Abstract
Introduction Peripheral nerve injuries in children are uncommon and can be challenging to diagnose.
There is a paucity of data on long-term sensorimotor and functional outcomes following
surgical repair. We present a 12-year retrospective analysis of pediatric peripheral
nerve repair with long-term functional outcomes.
Materials and Methods We performed a retrospective analysis of pediatric patients with peripheral nerve
injury requiring surgical repair. Clinical records were analyzed for procedure type,
time to surgery, mechanism of injury, postoperative recovery, and complications.
Results A total of 108 patients were identified and 87 patients were included. Out of 87
patients, 83 (95.4%) had partial or complete sensorimotor recovery at final follow-up
and 4 did not improve. Minor complications occurred in 10.3% of patients, all resolved
with conservative management. Mechanisms of injury were predominantly lacerations
with sharp objects or crush injuries. Age at time of injury was inversely correlated
with sensorimotor recovery, and time to surgical repair was not.
Conclusion Surgical repair with long-term hand therapy results in excellent functional outcomes
following pediatric peripheral nerve injury. A low threshold for exploration and repair
should be used in instances of diagnostic uncertainty. Timing of surgical repair is
dependent on a patient’s clinical presentation; however, repair within 48 hours is
sufficient for optimal sensorimotor recovery.
Keywords
pediatric - peripheral nerve injury - hand surgery - digital nerve - functional -
outcome - long term
