Orthoracle › Forums › Upper Limb & Hand › What is the gold standard for Digital Nerve Repair? › Reply To: What is the gold standard for Digital Nerve Repair?
I think digital nerve repairs are delegated to the junior surgeons and are often done poorly.
I have seen some remarkable recoveries from well-performed digital nerve injuries in clean-cut lacerations.
Like-wise watching some of the repairs I have thought that it will be a surprise if they worked at all.
I think the key is to perform tension-free repairs under a microscope by surgeons who are well trained in microsurgery. Otherwise, they may well not be repaired. At least the patient will be spared the morbidity from a long operation.
There are situations where the nature of injuries makes repair difficult. In those cases, we should be looking at allografts or conduits or protecting the repairs.