NICE has been notified about this procedure and will consider it as part of its work programme. The Interventional Procedures Advisory Committee (IPAC) will consider this procedure and NICE will issue an interventional procedures consultation document about its safety and efficacy for 4 weeks’ public consultation. IPAC will then review the consultation document in the light of comments received and produce a final interventional procedures document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.
Status In progress
Process IP
ID number 1541
Description In this procedure, the nearest undamaged functional non-essential nerve is used as the donor nerve. Under general anaesthesia, with the patient in a supine position and with their arm on a board, the damaged nerve is exposed and the extent of damage is defined neurophysiologically. The closest functional donor nerve is identified. It is then isolated, divided, transferred and joined to the selected damaged nerve while avoiding tension in the donor nerve. The aim of the procedure is to re-innervate the target muscles and improve limb function. Postoperatively, the patient needs nerve and muscle rehabilitation training to recover the strength of the re-innervated muscles and improve activities of daily living. Nerve transfers may sometimes be combined with tendon transfers.


Key events during the development of the guidance:

Date Update
21 December 2017 - 22 January 2018 Interventional procedure consultation

For further information on how we develop guidance, please see our page about NICE interventional procedures guidance