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Certainly, nerve grafting is another alternative for dealing with nerve gaps, at an elective time. This refers to Millesi's work on nerve grafts from the sural nerve for ulnar or median nerves. However, our article was primarily to call the attention of the emergency room staff to a simple fact: that a clip or anchoring suture, although very simple, serves a great deal for the future when the time comes for secondary repair. We admire and acknowledge the work of Dr Millesi and congratulate Dr Nahai if he is able to do such work on the brachial plexus, which requires a 9 cm-long graft. Two to four cables for each nerve of the brachial plexus comes to 54 to 152 cm of sural or other cutaneous nerve.
Amine ARC, Sugar O. Repair of Severed Brachial Plexus-Reply. JAMA. 1976;236(15):1692. doi:10.1001/jama.1976.03270160016012