Neuropexy: Surgical Nerve Repair Explained

Neuropexy is the surgical repair of a damaged nerve, typically involving suturing the divided ends (proximal and distal segments) together to restore continuity and function.

The goal is to enable axonal regeneration across the repair site, re-establishing communication between the nerve and the central nervous system. Successful neuropexy promotes recovery of sensory, motor, and autonomic functions.

Surgical techniques vary based on:

  • Type of nerve injury (sharp transection, crush, stretch)
  • Nerve location and diameter
  • Time since injury
  • Use of nerve grafts or conduits for gaps

Microsurgical precision, proper alignment of fascicles, and tension-free repair are critical for optimal outcomes. Postoperative rehabilitation supports functional recovery.

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