The Adipofascial Nerve Patch As an Alternative to Grafting in Partial Transection of a Peripheral Nerve.

Peripheral nerve injuries can be secondary to trauma, crush injuries, ischemia, and traction events. Without appropriate management, significant patient morbidity can occur resulting in dysfunction. Peripheral nerves are encased in the epineurium that protects and nourishes the individual nerve fascicles. Major blood vessels and adipofascial tissues run over the outer surface of the epineural layer. If a peripheral nerve in the upper extremity is completely transected, tension-free epineural repair should be performed with an operating microscope.