Treatment of skin and median nerve defects with peroneal neurofasciocutaneous flap.
A large neurofasciocutaneous flap that consisted of a peroneal flap and a segment of sural nerve was used in the simultaneous reconstruction of a large soft tissue and nerve defect caused by a crushing injury of the distal forearm. A 10 x 15 cm peroneal flap, including a 10 cm segment of sural nerve, was successfully transferred to an 8 x 12 cm skin defect, reconstructing a 5 cm defect of the median nerve. Two years after repair, the opponens pollicis muscle showed good contraction, although palmar abduction of the thumb remained poor. Static two-point discrimination was 20 mm on the pulp surface of both thumb and index finger and 15 mm on the middle finger.
Fukui
A
A
Department of Orthopedic Surgery, Omiwa Hospital, Sakurai, Japan.
Inada
Y
Y
Tamai
S
S
Mizumoto
S
S
D000328:Adult; D001158:Arteries / Q000637:transplantation; D005205:Fascia / Q000637:transplantation; D005260:Female; D005543:Forearm Injuries / Q000601:surgery; D006801:Humans; D007866:Leg / Q000098:blood supply* / Q000294:innervation; D008475:Median Nerve / Q000293:injuries / Q000503:physiopathology / Q000601:surgery*; D008866:Microsurgery / Q000379:methods; D009431:Neural Conduction; D012501:Saphenous Vein / Q000637:transplantation; D012867:Skin / Q000293:injuries; D016038:Skin Transplantation; D013127:Spinal Nerves / Q000637:transplantation*; D013497:Sural Nerve / Q000637:transplantation*; D013524:Surgical Flaps