Early recognition of the injury is critical and surgeries performed prior to three months tend to get the best results. We will offer nerve repair surgeries even up to a year, but the longer we wait, the poorer the results are. So we recommend to referring physicians that as soon as paralysis is recognized, that that patient be referred to a center that treats this. In a patient with severe paralysis to the limb, reconstructive surgery requires significant investment from the patient. They must be willing to undergo quite a bit of rehabilitation, retraining, learning how to use the limb, and a lot of effort is required. Patients who aren't willing to invest this type of effort in their recovery might not be excellent candidates for the reconstructive procedures that are available.
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