Peripheral Nerve & Brachial Plexus | Core Clinical Protocols & FAQs

Suturing a nerve under tension restricts internal endoneurial microvascular blood flow, creating dense scar tissue (fibroma) that completely blocks regenerating axonal growth cones. When a gap prevents tension-free apposition, nerve cable grafting is mandatory to achieve successful reinnervation. Dr. Vishal Purohit prioritizes tension-free repairs.