Current concepts in peripheral nerve surgery

  • Alexandros Beris
  • Ioannis GkiatasEmail author
  • Ioannis Gelalis
  • Dimitrios Papadopoulos
  • Ioannis Kostas-Agnantis
General Review • UPPER LIMB - LOWER LIMB


The injuries of the peripheral nerves are relatively frequent. Some of them may lead to defects which cannot be repaired with direct end-to-end repair without tension. These injuries may cause function loss to the patient, and they consist a challenge for the treating microsurgeon. Autologous nerve grafts remain the gold standard for bridging the peripheral nerve defects. Nevertheless, there are selected cases where alternative types of nerve reconstruction can be performed in order to cover the peripheral nerve defects. In all these types of reconstruction, the basic principles of microsurgery are necessary and the surgeon should be aware of them in order to achieve a successful reconstruction. The purpose of the present review was to present the most current data concerning the surgical options available for bridging such defects.


Peripheral nerve defect Nerve autograft Nerve conduit Nerve allograft Nerve transfer End-to-side neurorrhaphy 


Compliance with ethical standards

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2018

Authors and Affiliations

  • Alexandros Beris
    • 1
  • Ioannis Gkiatas
    • 2
    Email author
  • Ioannis Gelalis
    • 2
  • Dimitrios Papadopoulos
    • 2
  • Ioannis Kostas-Agnantis
    • 2
  1. 1.School of MedicineUniversity of IoanninaIoanninaGreece
  2. 2.Department of Orthopaedic Surgery, School of MedicineUniversity of IoanninaIoanninaGreece

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