How Peripheral Nerve Repair Works
The goal of the surgery is to allow the nerve fibers (axons) to regrow from the point of injury back to the muscle or skin. Depending on the severity of the gap between the nerve ends, surgeons use several techniques:
- Primary Repair: If the nerve ends are clean and can reach each other without tension, they are sewn directly together using microscopic sutures.
- Nerve Grafting: If there is a gap that cannot be closed, a “bridge” is created using a small piece of donor nerve (autograft) taken from another part of your body.
- Nerve Conduits: For smaller gaps, a synthetic or biological tube may be used to guide the regrowth of the nerve fibers.
- Nerve Transfer: In severe cases, a nearby healthy (but less critical) nerve is rerouted to “power” the damaged nerve’s original muscle.
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