Steven Koehler, MD, FAAOS
Assistant Professor of Orthopaedic Surgery
Hand, Upper Limb & Microsurgery
Montefiore Medical Center
Children’s Hospital at Montefiore
Albert Einstein College of Medicine
This DECISION POINT discussed emerging concepts of intraoperative nerve assessment to support surgical decision making. Dr. Koehler reviewed the clinical use of the CHECKPOINT GUARDIAN™ and CHECKPOINT GEMINI™ nerve stimulators to support intraoperative nerve assessment. He also discussed clinical application of both monopolar and bipolar stimulation and the importance of isolated stimulation in peripheral nerve surgery.
Suggested Reading
Brain Res Bull. 1993;30(3-4):477-82. doi: 10.1016/0361-9230(93)90281-f. PMID: 8457897.
Recovery potential of muscle after partial denervation: a comparison between rats and humans.
- Gordon T
- Yang JF
- Ayer K
- Stein RB
- Tyreman N
J Bone Joint Surg Am. 2011 May 4;93(9):819-29. doi: 10.2106/JBJS.I.01602. PMID: 21543672.
Comparison of nerve transfers and nerve grafting for traumatic upper plexus palsy: a systematic review and analysis.
- Garg R
- Merrell GA
- Hillstrom HJ
- Wolfe SW
Neurosurgery. 2012 Aug;71(2):417-29; discussion 429. doi: 10.1227/NEU.0b013e318257be98. PMID: 22811085.
A systematic review of nerve transfer and nerve repair for the treatment of adult upper brachial plexus injury.
- Yang LJ
- Chang KW
- Chung KC
2010 May;35(5):769-75. doi: 10.1016/j.jhsa.2010.01.004. Epub 2010 Mar 25. PMID: 20346595.
Nerve root grafting and distal nerve transfers for C5-C6 brachial plexus injuries.
- Bertelli JA
- Ghizoni MF
