Common peroneal nerve injuries: results with one-stage nerve repair and tendon transfer.
The authors report their experience in the treatment of common peroneal nerve (CPN) injuries using a one-stage procedure of nerve repair and tibialis posterior tendon transfer. A series of 45 patients with traumatic injury and graft repair of the CPN is presented. From 1988 to 1991, the six patients elected for surgery had only nerve repair: five ultimately did not recover, while muscle contraction in the remaining patient was graded M1-2. Since 1991, nerve surgery in our clinic was associated with tendon transfer procedures (39 cases) which were followed by a satisfactory reinnervation rate. Nerve transection and iatrogenic injuries, torsion/dislocation of the knee, complex biosseous fractures of the leg, and gunshot wounds showed excellent to fair results in decreasing order: in nerve sections, muscle recovery scored M3 or M4+ in all the patients, and in nerve ruptures due to severe dislocation of the knee, it was M3 or M4+ in 85% of cases. The association of microsurgical nerve repair and tendon transfer has changed the course of CPN injuries.
Ferraresi
Stefano
S
Department of Neurosurgery, Ospedale S Maria della Misericordia, Via Tre Martiri, 45100 Rovigo, Italy. nchro@libero.it
Garozzo
Debora
D
Buffatti
Paolo
P
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D009119:Muscle Contraction / Q000502:physiology; D018482:Muscle, Skeletal / Q000503:physiopathology; D009416:Nerve Regeneration / Q000502:physiology; D017063:Outcome Assessment, Health Care; D010543:Peroneal Nerve / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery*; D020127:Recovery of Function / Q000502:physiology; D012189:Retrospective Studies; D013709:Tendon Transfer / Q000379:methods*