Epineural Sleeve Reconstruction Technique for Median Nerve Complete Transection

In microsurgical nerve repair, the epineural sleeve technique can be used to bridge short nerve defects and to coverthe coaptation site with the epineurium of the nerve stump. The epineurium serves as a mechanical aid to reducegap size, and increase repair strength, effectively assisting nerve regeneration.This article presents a 32-year-old patient who experienced complete transection of the median nerve at thedistal forearm, which was treated with the epineural sleeve graft reconstruction technique. Nerve regenerationwas followed-up for 18 months and evaluated with the Rosén and Lundborg scoring system. The final outcomewas excellent; at the last follow-up, the patient experienced complete sensory and motor function of the mediannerve.