Peripheral Nerve Repair & Reconstruction

Chapter 12 of Volume 1, Hand & Upper Limb. Revision notes for the FRCS (Plast).

What this chapter covers

• Anatomy of the Brachial Plexus
• Peripheral Nerve Physiology & Regeneration
• Seddon’s 3-Level Classification
• Sunderland’s 5-Degree Classification Demyelination – axon - endo – peri - epi
• Biomechanics and Pathophysiology
• Nerve Regeneration and Grafting
• Tubular Repair and Artificial Nerve Conduits
• Cortical Reorganization (Neuroplasticity)
• Intraoperative Assessment: Choline Acetyltransferase (ChAT) Activity
• Surgical Management