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Amit Aesthetics
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Plastic Surgery

Nerve, Tendon & Bone Reconstruction Surgery

Peripheral nerve injuries, tendon lacerations, and bone defects — whether caused by trauma, degenerative disease, or tumor excision — can result in significant loss of motor function, sensation, and structural stability. These conditions often coexist in complex injuries involving the extremities, face, or trunk, requiring a surgeon skilled in microsurgical reconstruction to restore the intricate interplay of nerve signals, tendon mechanics, and skeletal support that enables normal movement.

Peripheral nerve surgery encompasses direct nerve repair (neurorrhaphy) when the nerve ends can be approximated, nerve grafting using expendable sensory nerves to bridge gaps, and nerve transfer procedures where a functioning but less critical nerve is redirected to reinnervate a paralyzed muscle. Tendon reconstruction includes primary repair of acute tendon injuries, tendon grafting for chronic defects, and tendon transfer procedures to restore lost hand or limb function. Bone reconstruction involves grafting — using the patient's own bone (autograft), donor bone (allograft), or synthetic substitutes — to repair non-healing fractures, fill defects after tumor removal, or reconstruct skeletal structures.

Dr. Amit Agrawal at Amit Aesthetics in Aligarh combines his M.Ch. qualification in Plastic Surgery with decades of microsurgical practice to perform these technically demanding procedures. Using operative microscopes and specialized microsurgical instruments, he achieves the precision necessary for successful nerve coaptation, tendon juncture, and structural bone restoration — giving patients the best possible chance of regaining function and independence.

Interested in Nerve, Tendon & Bone Surgery?

Schedule a consultation to discuss your options with Dr. Amit Agrawal.

Procedures & Techniques

  • Peripheral nerve repair (direct neurorrhaphy)
  • Nerve grafting for nerve gap reconstruction
  • Nerve transfer procedures for motor restoration
  • Flexor and extensor tendon repair
  • Tendon grafting and staged tendon reconstruction
  • Tendon transfer for nerve palsy rehabilitation
  • Autologous bone grafting
  • Non-union and malunion fracture repair
  • Bone reconstruction after tumor excision

Recovery & Aftercare

Recovery from nerve, tendon, and bone surgery is a gradual process that requires patience and disciplined rehabilitation. Nerve repairs may take three to eighteen months to show functional recovery, as regenerating nerve fibers grow at approximately one millimeter per day. Tendon repairs follow a structured therapy protocol with protected motion beginning in the first week and progressive strengthening over six to twelve weeks. Bone graft incorporation typically takes six to twelve weeks, during which the affected area is immobilized or protected with external or internal fixation. Physiotherapy and occupational therapy are essential components of recovery for all three tissue types, and Dr. Agrawal coordinates closely with rehabilitation specialists to optimize outcomes.

Frequently Asked Questions

How long does it take for a repaired nerve to recover?
Nerve recovery is the slowest of all tissue healing — regenerating nerve fibers grow at approximately one millimeter per day, or roughly one inch per month. This means a nerve repaired at the wrist may take three to six months to restore sensation to the fingertips, while a repair higher in the arm may take twelve to eighteen months. During this time, therapy to maintain joint flexibility and muscle conditioning is essential. Final outcomes continue to improve for up to two years after surgery.
What is the difference between nerve repair, nerve grafting, and nerve transfer?
Direct nerve repair (neurorrhaphy) stitches the two cut ends of a nerve directly together and is possible when there is no gap between the ends. Nerve grafting bridges a gap using a segment of expendable sensory nerve harvested from another part of the body. Nerve transfer redirects a functioning but less critical nerve to power a more important paralyzed muscle. Dr. Agrawal selects the technique based on the type, location, and timing of the injury.
When is bone grafting necessary and where does the bone come from?
Bone grafting is needed when a fracture fails to heal (non-union), when there is a structural bone defect after trauma or tumor removal, or when additional bone stock is required for reconstruction. The preferred source is autologous bone — harvested from the patient's own body, commonly the iliac crest (hip bone) — as it contains living cells that promote healing. Synthetic bone substitutes and donor bone (allograft) are alternatives used when autograft is not feasible or when the defect requires supplemental material.

Take the First Step

Schedule a confidential consultation with Dr. Amit Agrawal to discuss your goals and explore your options.