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If the ulnar nerve is to be used as a pedicled vascularized nerve graft, its distal end is cut at the wrist or as distal as possible and mobilized in its full length to the level of the superior ulnar collateral artery by dividing the dorsal cutaneous branch as well as the motor branches to the extrinsic finger and wrist flexors. Bleeding should be seen from the end of the vascularized nerve.
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