Over the last two decades dozens of novel nerve transfers have revolutionized the care and recovery of patients with catastrophic nerve injuries of the upper extremity. Outcomes of muscle strength and range of motion have dramatically improved given the shorter reinnervation distances and high axonal counts of nearby transfer donors. Time honored techniques of nerve grafting, arthrodesis and tendon transfer continue to  play a major role in the comprehensive management of complex plexus injuries. The panel will use several complex cases to illustrate an integrative approach to plexus workup and management, that combines microsurgical and standard reconstructive approaches for optimal outcomes of these injuries.

This course will be a case-based approach to act as a platform for an active discourse among the moderator, faculty, and attendees. Several cases will be presented that introduce controversies and highlight new ideas and approaches based on the experience of an international faculty. Focused short presentations will be interspersed to support the panelists' opinions and review what, if any, evidence exists for decisions for best practices. Video demonstrations of established and cutting-edge techniques will complement each case presentation.