Damage
to peripheral nerves is a widely extended health problem,
causing important socioeconomic costs worldwide. Indeed, peripheral
nerve injuries (PNI) have been concerning the medical community for
many decades. Nevertheless, despite the increase in knowledge in the
injury physiopathology and the great research efforts being undertaken,
the current standard grafting strategies used to repair PNI are not
as efficient as desired. Although alternative engineered nerve grafts
are already commercialized, their clinical performance is suboptimal.
In this review, a general description of the circumstances and repercussions
surrounding the PNI pathological state are presented, together with
the treatment limitations and current challenges when addressing both
short- and long-gap defects. In addition, potential therapeutic molecules
are considered, while innovative regenerative strategies have been
identified. Finally, the most relevant advances on the use of a wide
range of biomaterials for the development of novel medical devices
are also overviewed in depth, considering strategies making use of
either empty or filled nerve conduits for guided tissue regeneration.