Several severe types of injuries are not amenable to traditional techniques of peripheral
nerve repair. In these cases, the distal nerve branching and contact points in the
end muscles are avulsed, essentially removing the neural portion of the muscle. Direct
muscular neurotization often can reconstitute some muscle contraction and function
by implanting a nerve graft, divided into several slips, directly into the muscle.
This article describes the indications, contraindications, and technical issues associated
with direct muscular neurotization.
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© 2005 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
