What surgical technique is used in brachial plexus and peripheral nerve surgery?

Brachial plexus and peripheral nerve injuries vary from patient to patient, so it is important to select the appropriate surgical technique for reconstruction based on the type and severity of the injury:

• Neurolysis. The aim of this technique is to clean and decompress the scar tissue on the affected nerve that is limiting mobility.
• Nerve grafting. In order to reconstruct a flaw in one of the severed nerves, a graft is placed as a bridge between the two ends of the injured nerve to connect the damaged nerves. This nerve bridge is usually taken from one of the lower limbs.
• Nerve transfers. This technique involves using a healthy nerve adjacent to the injured nerve to reconstruct the nerve connection and limb function.
• Palliative surgery. When it is not possible to reconstruct the nerve, palliative surgery can be performed, which involves transferring tendons to restore the function of permanently denervated muscles. There are multiple tendon transfers that depend on each individual situation...

After surgery, patients usually need to undergo physiotherapy and rehabilitation treatment to help restore function. The duration of this treatment may vary depending on the injury, but it is estimated to last between six months and a year on average.