Medial antebrachial cutaneous-lateral femoral cutaneous neurotization to provide sensation to pressure-bearing areas in the paraplegic patient.
Although rotation of musculocutaneous flaps can achieve closure of pressure sores, these insensitive flaps in the paraplegic or quadriplegic contribute to recurrent ulceration. This report suggests a method of reinnervating the territory of the lateral femoral cutaneous nerve (the tensor fascia lata musculocutaneous flap) using the medial antebrachial cutaneous nerve of the forearm. This neurotization procedure has restored sensibility to the area of the healed pressure sore.
D000328:Adult; D001917:Brachial Plexus / Q000601:surgery*; D005267:Femoral Nerve; D006801:Humans; D008297:Male; D009416:Nerve Regeneration; D010264:Paraplegia / Q000150:complications; D003668:Pressure Ulcer / Q000517:prevention & control*; D013524:Surgical Flaps