Common Peroneal Nerve Grafting to Repair the Tibial Nerve as a Salvage Procedure in the Treatment of Sciatic Nerve Injury with Long-Segment Defects
Abstract Background In sciatic nerve neuropathies, when direct nerve repair is impossible due to a large gap, nerve grafting can be performed. However, the diameters of traditional autologous nerve grafts are too small to cover the whole cross-sectional area of the sciatic nerve. The ai...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Georg Thieme Verlag KG
2018-01-01
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| Series: | Journal of Reconstructive Microsurgery Open |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1653951 |
| _version_ | 1818353139554713600 |
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| author | Haodong Lin Desong Chen Chunlin Hou |
| author_facet | Haodong Lin Desong Chen Chunlin Hou |
| author_sort | Haodong Lin |
| collection | DOAJ |
| description | Abstract
Background In sciatic nerve neuropathies, when direct nerve repair is impossible due to a large gap, nerve grafting can be performed. However, the diameters of traditional autologous nerve grafts are too small to cover the whole cross-sectional area of the sciatic nerve. The aim of this study is to present the outcome of common peroneal nerve grafting to repair the tibial nerve in eight patients with sciatic nerve injuries, showing long defects of more than 10 cm.
Methods Between 2007 and 2013, the common peroneal nerve was used as an autograft to repair the tibial nerve in eight patients with complete high sciatic nerve injury with long defects. There were 6 men and 2 women with an average age of 31 years (range: 17–44 years). Muscle strength was evaluated using the British Medical Research Council scale. The Semmes–Weinstein monofilament test was used for sensory evaluation.
Results The follow-up time for patients ranged from 36 to 60 months, with an average of 48.75 months. Tibial nerve motor function was “good” or “very good” (M3–M4) in five out of eight patients (55.6%). Plantar flexion was not adequate in the rest of the patients. Sensory recovery was “good” or “very good” (S2–S3) in six patients and “inadequate” (S4) in two patients.
Conclusion In cases where there were extensive gaps in the sciatic nerve, using the common peroneal nerve as an autograft to repair the tibial nerve provides an alternative to traditional nerve graft repair. |
| first_indexed | 2024-12-13T19:04:47Z |
| format | Article |
| id | doaj.art-2d3866b8e8e74f048166498e32fb63da |
| institution | Directory Open Access Journal |
| issn | 2377-0813 2377-0821 |
| language | English |
| last_indexed | 2024-12-13T19:04:47Z |
| publishDate | 2018-01-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Journal of Reconstructive Microsurgery Open |
| spelling | doaj.art-2d3866b8e8e74f048166498e32fb63da2022-12-21T23:34:35ZengGeorg Thieme Verlag KGJournal of Reconstructive Microsurgery Open2377-08132377-08212018-01-010301e41e4510.1055/s-0038-1653951Common Peroneal Nerve Grafting to Repair the Tibial Nerve as a Salvage Procedure in the Treatment of Sciatic Nerve Injury with Long-Segment DefectsHaodong Lin0Desong Chen1Chunlin Hou2Department of Orthopedic Surgery, Changzheng Hospital, The Second Military Medical University, Shanghai, ChinaDepartment of Hand Surgery, Ningbo No. 6 Hospital, Zhejiang, ChinaDepartment of Orthopedic Surgery, Changzheng Hospital, The Second Military Medical University, Shanghai, ChinaAbstract Background In sciatic nerve neuropathies, when direct nerve repair is impossible due to a large gap, nerve grafting can be performed. However, the diameters of traditional autologous nerve grafts are too small to cover the whole cross-sectional area of the sciatic nerve. The aim of this study is to present the outcome of common peroneal nerve grafting to repair the tibial nerve in eight patients with sciatic nerve injuries, showing long defects of more than 10 cm. Methods Between 2007 and 2013, the common peroneal nerve was used as an autograft to repair the tibial nerve in eight patients with complete high sciatic nerve injury with long defects. There were 6 men and 2 women with an average age of 31 years (range: 17–44 years). Muscle strength was evaluated using the British Medical Research Council scale. The Semmes–Weinstein monofilament test was used for sensory evaluation. Results The follow-up time for patients ranged from 36 to 60 months, with an average of 48.75 months. Tibial nerve motor function was “good” or “very good” (M3–M4) in five out of eight patients (55.6%). Plantar flexion was not adequate in the rest of the patients. Sensory recovery was “good” or “very good” (S2–S3) in six patients and “inadequate” (S4) in two patients. Conclusion In cases where there were extensive gaps in the sciatic nerve, using the common peroneal nerve as an autograft to repair the tibial nerve provides an alternative to traditional nerve graft repair.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1653951sciatic nervenerve graftplantar flexion |
| spellingShingle | Haodong Lin Desong Chen Chunlin Hou Common Peroneal Nerve Grafting to Repair the Tibial Nerve as a Salvage Procedure in the Treatment of Sciatic Nerve Injury with Long-Segment Defects Journal of Reconstructive Microsurgery Open sciatic nerve nerve graft plantar flexion |
| title | Common Peroneal Nerve Grafting to Repair the Tibial Nerve as a Salvage Procedure in the Treatment of Sciatic Nerve Injury with Long-Segment Defects |
| title_full | Common Peroneal Nerve Grafting to Repair the Tibial Nerve as a Salvage Procedure in the Treatment of Sciatic Nerve Injury with Long-Segment Defects |
| title_fullStr | Common Peroneal Nerve Grafting to Repair the Tibial Nerve as a Salvage Procedure in the Treatment of Sciatic Nerve Injury with Long-Segment Defects |
| title_full_unstemmed | Common Peroneal Nerve Grafting to Repair the Tibial Nerve as a Salvage Procedure in the Treatment of Sciatic Nerve Injury with Long-Segment Defects |
| title_short | Common Peroneal Nerve Grafting to Repair the Tibial Nerve as a Salvage Procedure in the Treatment of Sciatic Nerve Injury with Long-Segment Defects |
| title_sort | common peroneal nerve grafting to repair the tibial nerve as a salvage procedure in the treatment of sciatic nerve injury with long segment defects |
| topic | sciatic nerve nerve graft plantar flexion |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1653951 |
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