Hand surgery

Specialist hand surgery

Nerve repair and reconstruction

Re-establishing nerve continuity following injury to support sensory and motor recovery.

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A hand surgeon performing a gentle sensory examination of a patient's fingertip

What does treatment involve?

Nerves provide sensation and power movement. When a nerve is divided or significantly damaged, repair or reconstruction may be considered. The approach depends on the nerve involved, the level and age of the injury, the gap between the nerve ends and the condition of the surrounding tissues.

01

When it may be considered

  • Freshly divided digital or peripheral nerves
  • Nerve injuries associated with complex hand trauma
  • Selected established injuries requiring grafting or reconstruction
02

Your treatment

  • Microsurgical assessment and repair where direct approximation is appropriate
  • Nerve grafting or another reconstructive strategy when a gap is present
  • Treatment of associated tendon, vessel, bone and soft-tissue injuries where required
03

Recovery and rehabilitation

  • Nerve recovery is gradual and varies between individuals
  • Sensory re-education, protection and hand therapy may be required
  • The likely degree and timescale of recovery cannot be guaranteed

Assessment before recommendation.

Symptoms, examination findings, work, hobbies and the demands placed on your hand are considered together. Relevant imaging or nerve studies are reviewed where required.

You will receive a clear explanation of the available options, likely benefits, limitations, material risks and expected rehabilitation before deciding how to proceed.

Useful information

01How quickly do nerves recover?+

Nerve regeneration is slow and recovery varies according to the nerve, injury level, timing, age and other individual factors.

02Will sensation return completely?+

Complete recovery cannot be guaranteed. The realistic aims and limitations are discussed after examination of the specific injury.

03Why might a nerve graft be needed?+

If damaged tissue must be removed and the nerve ends cannot meet without tension, graft material may be used to bridge the gap.

This information is general and does not replace an individual consultation. The most appropriate treatment and recovery plan depend on your diagnosis, examination findings and personal circumstances.

Begin with a conversation.

Discuss your symptoms and receive an individual assessment with clear, considered advice.

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