REVIEW ARTICLE
ADVANCED RECONSTRUCTIVE STRATEGIES IN BRACHIAL PLEXUS AND
PERIPHERAL NERVE INJURIES – INTERDISCIPLINARY COLLABORATION
BETWEEN A HAND SURGEON AND A NEUROPHYSIOLOGIST
1
Department of Traumatology, Orthopaedics and Hand Surgery, Poznan University of Medical Sciences,
Poznan, Poland
2
Department of Pathophysiology of Locomotor Organs, Poznan University of Medical Sciences,
Poznan, Poland
Submission date: 2025-12-16
Acceptance date: 2026-01-03
Publication date: 2026-03-16
Corresponding author
Michał Górecki
Department of Traumatology, Orthopaedics and Hand Surgery, Poznan University of Medical Sciences, 28 Czerwca 1956 r. 135/147, 61-545 Poznan, Poland
Department of Traumatology, Orthopaedics and Hand Surgery, Poznan University of Medical Sciences, 28 Czerwca 1956 r. 135/147, 61-545 Poznan, Poland
Issue Rehabil. Orthop. Neurophysiol. Sport Promot. 2025;52(3):21-34
KEYWORDS
brachial plexus injurynerve injurynerve reconstructionnerve transferhandsurgeonneurophysiologistnerve regeneration
TOPICS
ABSTRACT
High-energy injuries of the brachial plexus and major peripheral nerves represent some
of the most challenging issues in reconstructive surgery. Prolonged regeneration distan
ces, early muscle atrophy, and the risk of irreversible functional loss necessitate advanced
microsurgical strategies. These cases also require close interdisciplinary collaboration be
tween a neurophysiologist and a hand or nerve surgeon. This review summarizes current
reconstructive approaches, including direct nerve repair, autologous and allogeneic nerve
grafting, end-to-side, reverse end-to-side, and modern direct nerve transfers, or procedures
using nerve conduction studies. It also emphasizes the crucial diagnostic and intraoperative
contributions of neurophysiology to clinical decision-making.
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| ISSN: | 2300-0767 |
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