title: A Proximally Based Sural Fasciocutaneous Flap for the Treatment of Recurrent Peroneal Neuropathy: A Case Report.
abstract: Surgical treatment for recurrent, common peroneal neuropathy has not been reported. Herein, we describe a successfully treated case using the proximally based sural fasciocutaneous flap after reneurolysis of the adhesive common peroneal nerve. A 33-year-old man received a neurolysis operation for entrapment neuropathy of the common peroneal nerve 2 years before first admission in our clinic. Although motor nerve conduction studies showed a marked improvement after the primary operation, the patient always required the use of a crutch because of severe pain radiating to the lower leg during standing or walking. We diagnosed adhesive neuropathy of the common peroneal nerve, and performed reneurolysis by wrapping of the released nerve with a proximally based sural fasciocutaneous flap to prevent readhesion. The radiating pain was significantly reduced at 1-month postoperation. At 1-year postoperation, the patient could walk a long distance without a crutch. Wrapping the released common peroneal nerve with a proximally based sural fasciocutaneous flap is a useful option for the treatment of recurrent, common peroneal neuropathy.
authors.affiliation: Department of Orthopaedic Surgery, Kyoto University, Kyoto, Japan; Department of Orthopaedic Surgery, Boston Medical Center, Boston University School of Medicine, Boston, Mass.; and Department of Orthopaedic Surgery, Yawata Central Hospital, Kyoto, Japan.
authors.forename: Souichi
authors.initials: S
authors.lastname: Ohta
authors.affiliation: Department of Orthopaedic Surgery, Kyoto University, Kyoto, Japan; Department of Orthopaedic Surgery, Boston Medical Center, Boston University School of Medicine, Boston, Mass.; and Department of Orthopaedic Surgery, Yawata Central Hospital, Kyoto, Japan.
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Ikeguchi
authors.affiliation: Department of Orthopaedic Surgery, Kyoto University, Kyoto, Japan; Department of Orthopaedic Surgery, Boston Medical Center, Boston University School of Medicine, Boston, Mass.; and Department of Orthopaedic Surgery, Yawata Central Hospital, Kyoto, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Noguchi
authors.affiliation: Department of Orthopaedic Surgery, Kyoto University, Kyoto, Japan; Department of Orthopaedic Surgery, Boston Medical Center, Boston University School of Medicine, Boston, Mass.; and Department of Orthopaedic Surgery, Yawata Central Hospital, Kyoto, Japan.
authors.forename: Yukitoshi
authors.initials: Y
authors.lastname: Kaizawa
authors.affiliation: Department of Orthopaedic Surgery, Kyoto University, Kyoto, Japan; Department of Orthopaedic Surgery, Boston Medical Center, Boston University School of Medicine, Boston, Mass.; and Department of Orthopaedic Surgery, Yawata Central Hospital, Kyoto, Japan.
authors.forename: Hiroki
authors.initials: H
authors.lastname: Oda
authors.affiliation: Department of Orthopaedic Surgery, Kyoto University, Kyoto, Japan; Department of Orthopaedic Surgery, Boston Medical Center, Boston University School of Medicine, Boston, Mass.; and Department of Orthopaedic Surgery, Yawata Central Hospital, Kyoto, Japan.
authors.forename: Shuichi
authors.initials: S
authors.lastname: Matsuda