Impacts of Rehabilitation Gait Training on Functional Outcomes after Tibial Nerve Transfer for Patients with Peroneal Nerve Injury: A Nonrandomized Controlled Trial

Abstract BACKGROUND: Lower-limb function is severely impaired after sacral plexus nerve injury. Nerve transfer is a useful reconstructive technique for proximal nerve injuries. OBJECTIVE: To investigate the clinical effectiveness and safety of transferring the ipsilateral obturator nerve to the branch of the tibial nerve innervating the medial head of the gastrocnemius muscle to recover knee and ankle flexion. METHODS: From 2007 to 2011, 5 patients with sacral plexus nerve injury underwent ipsilateral obturator nerve transfer as part of a strategy for surgical reconstruction of their plexuses. The mean patient age was 31.4 years (range, 19-45 years), and the mean interval from injury to surgery was 5.8 months (range, 3-8 months). The anterior branch of the obturator nerve was coapted to the branch of the tibial nerve innervating the medial head of the gastrocnemius muscle by autogenous nerve grafting. RESULTS: Patient follow-up ranged from 24 to 38 months. There were no complications related to the surgery. Three patients recovered to Medical Research Council grade 3 or better in the medial head of the gastrocnemius muscle. Thigh adduction function was not affected in any patient. CONCLUSION: Knee and ankle flexion can be achieved by transferring the anterior branch of the obturator nerve to the branch of the tibial nerve innervating the medial head of the gastrocnemius muscle, which is useful for balance. This procedure can be used as a new method for treating sacral plexus nerve injury.

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Isokinetic cross-training effect in foot drop following common peroneal nerve injury

Isokinetics and Exercise Science ◽

10.3233/ies-140559 ◽

2015 ◽

Vol 23 (1) ◽

pp. 17-20 ◽

Cited By ~ 4

Author(s):

Andrea Manca ◽

Francesco Pisanu ◽

Enzo Ortu ◽

Edoardo De Natale ◽

Francesca Ginatempo ◽

...

Keyword(s):

Nerve Injury ◽

Peroneal Nerve ◽

Common Peroneal Nerve ◽

Foot Drop ◽

Training Effect ◽

Cross Training ◽

Peroneal Nerve Injury

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Iatrogenic common peroneal nerve injury during harvesting of semitendinosus tendon for anterior cruciate ligament reconstruction

BMJ Case Reports ◽

10.1136/bcr-2020-240736 ◽

2021 ◽

Vol 14 (4) ◽

pp. e240736

Author(s):

Raf Mens ◽

Albert van Houten ◽

Roy Bernardus Gerardus Brokelman ◽

Roy Hoogeslag

Keyword(s):

Anterior Cruciate Ligament ◽

Nerve Injury ◽

Peroneal Nerve ◽

Cruciate Ligament ◽

Common Peroneal Nerve ◽

Peroneal Nerve Injury ◽

The Common ◽

Anterior Cruciate ◽

Incision Technique

We present a case of iatrogenic injury to the common peroneal nerve (CPN) occurring due to harvesting of a hamstring graft, using a posterior mini-incision technique. A twitch of the foot was noted on retraction of the tendon stripper. After clinically diagnosing a CPN palsy proximal to the knee, the patient was referred to a neurosurgeon within 24 hours. An electromyography (EMG) was not obtained since it cannot accurately differentiate between partial and complete nerve injury in the first week after injury. Because the nerve might have been transacted by the tendon stripper, surgical exploration within 72 hours after injury was indicated. An intraneural haematoma was found and neurolysis was performed to decompress the nerve. Functioning of the anterior cruciate ligament was satisfactory during follow-up. Complete return of motor function of the CPN was observed at 1-year follow-up, with some remaining hypoaesthesia.

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