Introduction and Indications for Nerve Transfers (Feat. Dr. Mackinnon)

Introduction and Indications for Nerve Transfers
Authors: Mackinnon SE1, Yee A1
Published: May 7, 2016

AUTHOR INFORMATION
1Division of Plastic and Reconstructive Surgery, Washington University, St. Louis, Missouri

DISCLOSURE
No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.

ABSTRACT
This presentation is an introduction to nerve transfers and details the indications for performing these procedures. Experimental studies are discussed in respect to nerve injury and recovery and the window for reinnervation. The classification for nerve injuries is also reviewed with an additional category that distinguishes recovery to either favorable (I, II, III degree) or unfavorable (IV, V degree). Nerve transfers are performed for unfavorable nerve injuries and the associated indications are provided within this presentation. Factors for poor functional recovery are also discussed to optimize outcomes following nerve transfers.

TABLE OF CONTENTS
00:00 Introduction
00:10 Nerve Injury and Recovery
01:06 Factors for Window of Reinnervation and Functional Recovery
02:25 Experimental Study for Percent of Denervation for Functional Loss
03:51 Regenerative Rate of Peripheral Nerves
06:01 Factors for Poor Functional Recovery
06:51 Classification of Nerve Injuries
07:15 Favorable and Unfavorable Classification for Recovery
07:48 Indications for Nerve Transfers
08:53 Mantra for Nerve Transfers: Donor Distal Recipient Proximal
09:26 Indications for Supercharge Nerve Transfers
10:44 Indications for Supercharge Nerve Transfer for Ulnar Nerve Injuries
13:07 Conclusion