Ulnar Nerve Protection Using the Arthrex Nerve Wrap

Mollie Manley, MD (Akron, OH), demonstrates the application of the Arthrex Nerve Wrap for protecting a repaired ulnar nerve laceration at the wrist. She reviews key steps, including nerve isolation, wrap sizing, hydration to allow self-curling expansion, and careful placement with light suturing to prevent unraveling without constricting the nerve. Dr. Manley highlights the benefits of nerve wrapping—reduced perineural scarring, decreased axonal escape, and minimized neuroma formation^1,2 — followed by postoperative splinting and gradual rehabilitation.

_References

_{1. Zoghoul Alsmadi N, Deister C, Evans P, Ghanem T, Smetana B, Mercer D. Protecting the nerve coaptation: connector-assisted nerve repair in complex injuries. J Hand Surg Glob Online. 2025;7(6):100816. doi:10.1016/j.jhsg.2025.100816}

_{2. Leis A, Smetana BS, Strohl AB, Styron JF. Comparative effectiveness systematic review and meta-analysis of peripheral nerve repair using direct repair and connector-assisted repair. Plast Reconstr Surg Glob Open. 2024;12(7):e5927. doi:10.1097/GOX.0000000000005927}