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In the most severe injuries, surgery is often best approached with a multidisciplinary team. To have nerve surgery, as well as orthopedic surgery or plastic surgery involved in the case, sometimes adds expertise that allow more options to be provided to the patient. Sometimes, nerve grafting, nerve transfers and muscle transplants are required to get the best function out of that limb, and tissue transplantation such as a muscle transplant is often best performed with a plastic surgery team involved in the operation.