Evaluation of the Efficacy and Results of Intraoperative Nerve Conduction in Nerve Reconstruction of the Hand

Abstract

Nerve reconstruction in the hand is a critical aspect of hand surgery, aiming to restore sensory and motor function and improve overall hand functionality. Intraoperative nerve conduction, a neurophysiological technique, plays a pivotal role in nerve reconstruction surgeries. This literature review evaluates the efficacy and results of intraoperative nerve conduction in hand nerve reconstruction. Theoretical Framework: Intraoperative nerve conduction involves electrical stimulation of nerve fibers and the recording of nerve conduction responses in real-time during surgery. The technique aids in nerve identification, assessment, and surgical decision-making. Discussion: Intraoperative nerve conduction has shown efficacy in guiding surgical interventions and predicting postoperative outcomes. It has been particularly useful in complex nerve injuries, providing valuable feedback for optimal surgical planning. Challenges: Despite its benefits, intraoperative nerve conduction has limitations, such as timing issues and the need for skilled neurophysiologists and specialized equipment. Future Implications: Standardizing protocols and conducting larger prospective studies can enhance its reliability and identify specific scenarios where intraoperative nerve conduction provides the greatest benefit. Conclusion: Intraoperative nerve conduction is a valuable tool in hand nerve reconstruction, contributing to improved patient outcomes and the advancement of hand surgery. Continued research and technological advancements hold promise for its further optimization and wider applicability in the field.