Technical progress and clinical application of distal nerve transfers - Takeaways - MDSpire

Advancements in Distal Nerve Transfer Techniques and Their Clinical Implementation

  • By

  • Lukas Rasulić

  • Andrija Savić

  • Aleksa Mićić

  • Jovan Grujić

  • Milan Lepić

  • Vojin Kovačević

  • July 21, 2026

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  • 1

    Distal nerve transfer surgery is a significant advancement in treating peripheral nerve injuries, improving recovery through reduced regenerative distance.

  • 2

    The proposed four-level decision-making framework integrates donor feasibility with injury characteristics to optimize surgical strategies.

  • 3

    Heterogeneity in donor selection and reconstructive strategies has led to conflicting evidence and limited consensus in distal nerve transfer outcomes.

  • 4

    Three testable predictions were derived, with consistent support for worse outcomes correlating with increased lesion severity.

  • 5

    The framework aims to provide a structured approach for comparing donor choices and addressing uncertainties in clinical scenarios.

Original Source(s)

Technical progress and clinical application of distal nerve transfers

  • by Lukas Rasulić, Andrija Savić, Aleksa Mićić, Jovan Grujić, Milan Lepić, Vojin Kovačević

  • July 21, 2026

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