Selective fasciculotomy of tibial nerve at treatment of spasticity of lower limbs in infants with cerebral palsy
Objective. To assess efficacy of selective fasciculotomy and tibial nerve suture in patients with infantile cererbral palsy (ICP) in incurable spasticity of lower limbs.Materials and methods. In 9 cases with ICP with equine-varus foot deformity 14 selective fasciculotomies and suture of t...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Romodanov Neurosurgery Institute
2015-09-01
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| Series: | Ukrainian Neurosurgical Journal |
| Online Access: | https://theunj.org/article/view/50268 |
| _version_ | 1797348315561459712 |
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| author | Leonid Pichkur Yuriy Lontkovsky |
| author_facet | Leonid Pichkur Yuriy Lontkovsky |
| author_sort | Leonid Pichkur |
| collection | DOAJ |
| description |
Objective. To assess efficacy of selective fasciculotomy and tibial nerve suture in patients with infantile cererbral palsy (ICP) in incurable spasticity of lower limbs.Materials and methods. In 9 cases with ICP with equine-varus foot deformity 14 selective fasciculotomies and suture of transected movement fascicules of tibial nerve in upper third of shin were performed. Selective criteria was an positive bupivacaine blockage probe. EMG and functional test were used for objectification of intervention results.Results. In 12 cases significant improvement, increase of movement rate in joints in remote period, were achieved. Transposition of tendon of m.tibialis posterior to dorsal surface of foot were performed in 2 cases. Best results determined by staging and physiotherapy.Conclusions. Selective fasciculotomy and fascicular suture of tibial nerve in patients with ICP with incurable spasticity leads to permanent improvement of function of lower limb extremities. |
| first_indexed | 2024-03-08T12:04:03Z |
| format | Article |
| id | doaj.art-cb6393a51dba4dcd83686b60bcbe0dc7 |
| institution | Directory Open Access Journal |
| issn | 2663-9084 2663-9092 |
| language | English |
| last_indexed | 2024-03-08T12:04:03Z |
| publishDate | 2015-09-01 |
| publisher | Romodanov Neurosurgery Institute |
| record_format | Article |
| series | Ukrainian Neurosurgical Journal |
| spelling | doaj.art-cb6393a51dba4dcd83686b60bcbe0dc72024-01-23T13:31:37ZengRomodanov Neurosurgery InstituteUkrainian Neurosurgical Journal2663-90842663-90922015-09-013707510.25305/unj.50268Selective fasciculotomy of tibial nerve at treatment of spasticity of lower limbs in infants with cerebral palsyLeonid Pichkur0https://orcid.org/0000-0003-4716-0960Yuriy Lontkovsky1https://orcid.org/0000-0002-3651-0729Restorative Neurosurgery Department, Romodanov Neurosurgery Institute, Kiev, UkraineDepartment of Traumatology, Kamianets-Podilskyi city hospital №1, Kamianets-Podilskyi, Khmelnytskyi region, Ukraine Objective. To assess efficacy of selective fasciculotomy and tibial nerve suture in patients with infantile cererbral palsy (ICP) in incurable spasticity of lower limbs.Materials and methods. In 9 cases with ICP with equine-varus foot deformity 14 selective fasciculotomies and suture of transected movement fascicules of tibial nerve in upper third of shin were performed. Selective criteria was an positive bupivacaine blockage probe. EMG and functional test were used for objectification of intervention results.Results. In 12 cases significant improvement, increase of movement rate in joints in remote period, were achieved. Transposition of tendon of m.tibialis posterior to dorsal surface of foot were performed in 2 cases. Best results determined by staging and physiotherapy.Conclusions. Selective fasciculotomy and fascicular suture of tibial nerve in patients with ICP with incurable spasticity leads to permanent improvement of function of lower limb extremities.https://theunj.org/article/view/50268 |
| spellingShingle | Leonid Pichkur Yuriy Lontkovsky Selective fasciculotomy of tibial nerve at treatment of spasticity of lower limbs in infants with cerebral palsy Ukrainian Neurosurgical Journal |
| title | Selective fasciculotomy of tibial nerve at treatment of spasticity of lower limbs in infants with cerebral palsy |
| title_full | Selective fasciculotomy of tibial nerve at treatment of spasticity of lower limbs in infants with cerebral palsy |
| title_fullStr | Selective fasciculotomy of tibial nerve at treatment of spasticity of lower limbs in infants with cerebral palsy |
| title_full_unstemmed | Selective fasciculotomy of tibial nerve at treatment of spasticity of lower limbs in infants with cerebral palsy |
| title_short | Selective fasciculotomy of tibial nerve at treatment of spasticity of lower limbs in infants with cerebral palsy |
| title_sort | selective fasciculotomy of tibial nerve at treatment of spasticity of lower limbs in infants with cerebral palsy |
| url | https://theunj.org/article/view/50268 |
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