The RNOH is recognised as a leading UK tertiary centre for the treatment of complex peripheral nerve injuries. Services include highly complex brachial lumbar plexus nerve repair and nerve transplantations in both infants and adults. Some patients are seen and treated as emergencies as a result of acute trauma, and others are referred because of chronic problems associated with earlier injury. The unit also deals with nerve tumours in the upper and lower limbs.

The services offered include:

• Exploration, repair and non-operative treatment in adult brachial plexus injury
• Exploration, repair and non-operative treatment in obstetric brachial plexus injury (OBPP)
• Peripheral nerve injury in upper or lower limbs
• Nerve tumours
• Palliative upper limb surgery after central nervous lesion i.e. reconstruction of spastic deformity
• Injuries to the lumbo-sacral plexus
• Surgical reconstruction of limb function after peripheral nerve injury