ArticleHand (New York, N.Y.)2015
Alternatives to sural nerve grafts in the upper extremity.
Article in Hand (New York, N.Y.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 51 citations in OpenAlex.
- Application strategies of autologous and decellularized nerve grafts: Structural and functional recovery.Neural regeneration research · 2026Article
- Characteristics of Sciatic Nerve Repair With Neurolysis, End-to-end Repair, and Nerve Grafting: A Narrative Review.Plastic and reconstructive surgery. Global open · 2025Article
- Secondary Ulnar Nerve Reconstruction of High Ulnar Nerve Injuries: A Comparative Study of Sural Grafting and Anterior Interosseous Nerve Transfer.The archives of bone and joint surgery · 2025Article
- Biological conduits based on spider silk for reconstruction of extended nerve defects.Innovative surgical sciences · 2024Article
- Vascularized versus Free Nerve Grafts: An Experimental Study on Rats.Journal of personalized medicine · 2023Article
- Histologic Comparison of the Fascicular Area of Processed Nerve Allograft Versus Cabled Sural Nerve Autograft.Plastic and reconstructive surgery. Global open · 2023Article
- Republication of "Treatment of Postsurgical Neuroma in Foot and Ankle Surgery".Foot & ankle orthopaedics · 2023Review
- Acellular Nerve Allografts in Major Peripheral Nerve Repairs: An Analysis of Cases Presenting With Limited Recovery.Hand (New York, N.Y.) · 2023Article
- Posterior Interosseous Nerve Graft: Utilizing External Landmarks and Anthropometric Ratios to Predict Available Length for Digital Nerve Reconstruction in a Cadaveric Study.Plastic surgery (Oakville, Ont.) · 2022Article
- Revision of Carpal Tunnel Surgery.Journal of clinical medicine · 2022Review
- Current concepts in diagnosis and management of common upper limb nerve injuries in children.Journal of children's orthopaedics · 2021Article
- Donor nerve graft assessment for covering thumb nerve defects: a cadaveric study.Journal of orthopaedic surgery and research · 2020Article
- The Role of the Peripheral Nerve Surgeon in the Treatment of Pain.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2019Review
- Systematic Review of Tendon Transfer Versus Nerve Transfer for the Restoration of Wrist Extension in Isolated Traumatic Radial Nerve Palsy.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2018Article
- Intraneural Median Nerve Anatomy and Implications for Treating Mixed Median Nerve Injury in the Hand.Hand (New York, N.Y.) · 2016Article
- Radial nerve palsy.EFORT open reviews · 2016Article
- Ulnar neuropathy: evaluation and management.Current reviews in musculoskeletal medicine · 2016Review
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe sural nerve is the most common nerve graft donor despite requiring a second operative limb and causing numbness of the lateral foot. The purposes of this study were to review our experience using nerve autografts in upper extremity nerve reconstruction and develop recommendations for donor selection.
methodsA retrospective case series study was performed of all consecutive patients undergoing nerve grafting procedures for upper extremity nerve injuries over an 11-year period (2001-2012).
resultsEighty-six patients received 109 nerve grafts over the study period. Mean patient age was 42.9 ± 18.3 years; 57 % were male. There were 51 median (59 %), 26 ulnar (30 %), 14 digital (13 %), 13 radial (16 %), and 3 musculocutaneous (4 %) nerve injuries repaired with 99 nerve autografts (71 from upper extremity, 28 from lower extremity). Multiple upper extremity nerve autograft donors were utilized, including the medial antebrachial cutaneous nerve (MABC), third webspace branch of median, lateral antebrachial cutaneous nerve (LABC), palmar cutaneous, and dorsal cutaneous branch of ulnar nerve. By using an upper-extremity donor, a second operative limb was avoided in 58 patients (67 %), and a second incision was avoided in 26 patients (30 %). The frequency of sural graft use declined from 40 % (n = 17/43) to 11 % (n = 7/64).
conclusionsOur algorithm for selecting nerve graft material has evolved with our growing understanding of nerve internal topography and the drive to minimize additional incisions, maximize ease of harvest, and limit donor morbidity. This has led us away from using the sural nerve when possible and allowed us to avoid a second operative limb in two thirds of the cases.
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