Abstract
* Interposition nerve grafting and tendon transfer lead to suboptimal functional and sensory recovery after proximal upper-extremity nerve injuries. Techniques to treat proximal nerve injuries are evolving, with growing use of distal nerve transfers to reduce recovery delay and achieve reinnervation before permanent muscle loss.* Patients undergoing distal nerve transfer for treatment of peripheral nerve pathology have improved functional results compared with patients who undergo traditional nerve grafting and tendon transfer.* Factors influencing outcomes following peripheral nerve surgical procedures include length of time since injury, compressive pathology, type of nerve injured, and specific transfer technique.* There are multiple techniques of distal nerve transfers. We provide outcomes-based guidance in deciding among the different treatment modalities available for patients who present with mononeuropathies.
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