SURGICAL EDUCATION & INNOVATION

Peripheral Nerve Surgery:
What's Next for Foot & Ankle?

From nerve protection to regeneration, a closer look at techniques and technologies worth knowing.

Peripheral nerve surgery is evolving, with growing interest in how repair and reconstruction strategies may address familiar challenges in the foot and ankle: tarsal tunnel syndrome, Morton's neuroma, and painful nerve endings.

Following conversations at the Chicago Lower Extremity Surgical Symposium (CLESS), we're continuing the discussion with clinical education, manufacturer resources, and an opportunity to explore these technologies firsthand.

FEATURED WEBINAR • FOLLOWING CLESS

OrthoCell Remplir™ Webinar

A closer look at Remplir™:
From science to surgical decision-making

Thursday, November 5, 2026
7:00 PM Eastern

Continue the conversation following CLESS with an educational discussion of Remplir, from the science behind the technology to surgical decision-making.

Hosted by Amber Muehlmann
Senior Manager, Medical & Clinical Affairs
Orthocell

No registration required. Join via Zoom on November 5 at 7:00 PM ET.

Meeting ID: 845 4176 6126
Passcode: Remplir115

CLINICAL PERSPECTIVES

Beyond Decompression & Excision

Tarsal Tunnel: Protecting the Nerve After Release

Decompression addresses nerve entrapment. Scarring, tethering, and recurrent symptoms may remain concerns, particularly in revision cases. Adjunctive wrapping is an area of interest; patient selection and the evidence for each technique remain central to decision-making.

Watch: Tarsal Tunnel Repair—Onlay Technique →

Morton's Neuroma: Is Excision the End of the Story?

Neurectomy is an established option when appropriate nonsurgical treatment has failed, but permanent numbness, persistent pain, and stump neuroma can complicate outcomes. In recurrent or complex cases, nerve-end management and selected reconstructive approaches merit careful evaluation.

Watch: Morton's Neuroma Nerve Repair →
OrthoCell practitioner surgical video

RPNI: Rethinking Painful Nerve Endings

A regenerative peripheral nerve interface (RPNI) places a transected nerve end into a free muscle graft, providing a target for regenerating axons. Much of the clinical experience concerns neuroma and postamputation pain. Broader applications require procedure-specific evidence and appropriate expertise.

RPNI uses autologous muscle tissue. Remplir may be considered as an adjunct for nerve protection, with the aim of reducing adhesions around the nerve, when clinically appropriate and consistent with its instructions for use.

Explore RPNI education from the University of Michigan →

PRODUCT SPOTLIGHTS

Nerve Protection in Practice

Explore Remplir, a collagen wrap designed to support peripheral nerve repair and protection.

OrthoCell | Remplir™

Peripheral nerve repair and protection

Remplir is a sterile, resorbable collagen membrane used in the management of peripheral nerve injuries where there has been no substantial loss of nerve tissue. The membrane is placed around the nerve or repair site to provide a protective interface with surrounding tissue.

EXPLORE REMPLIR →  |  Surgical video library

Watch: Lower Extremity Nerve Graft Repair →

ALSO WORTH KNOWING • SELECTED NERVE RECONSTRUCTION CASES

NeuroSpan Bridge™ | Auxilium Biotechnologies

For surgeons who encounter peripheral nerve gaps, NeuroSpan Bridge is an off-the-shelf, bioresorbable PCL implant with longitudinal microchannels designed to mimic native fascicular architecture and guide axonal growth. It is indicated for peripheral nerve discontinuities where a tensionless repair can be made.

Available in 10–30 mm lengths and 1.5–3.0 mm diameters, it requires no nerve harvest or thawing. Your Pathway representative can share product information for a focused discussion.

Learn about NeuroSpan Bridge →

HANDS-ON EDUCATION

Take It to the Lab

Interested in seeing how these technologies could fit into your surgical practice?

Get hands-on experience with Remplir at Pathway's local cadaveric lab. Explore nerve protection techniques, evaluate handling firsthand, and discuss potential applications in lower extremity procedures with our team. Interested in nerve gap repair? We can tailor a NeuroSpan Bridge demonstration to your learning goals.

Whether you're new to peripheral nerve reconstruction or looking to expand your approach, we'd love to get you in the lab.

Continuing the Conversation

As peripheral nerve techniques and technologies evolve, understanding the options for protection, repair, and reconstruction is increasingly relevant. Pathway Medical is here to support that learning through education, hands-on opportunities, and responsive surgical support.

Have a challenging nerve case or want to learn more? Connect with your Pathway representative →

EXPLORE THE PATHWAY PORTFOLIO

Our Manufacturing Partners

Explore the manufacturers Pathway carries. Select a logo to visit its website, or browse our resource hub for surgical techniques, product information, and educational materials.

Thank you for staying connected with Pathway. We’re committed to supporting your practice with relevant insights, trusted resources, and continued innovation in surgical care.

The Pathway Medical Team