Soleus nerve transfer to deep peroneal nerve for treatment of foot drop. 2020

Mohammadreza Emamhadi, and Amin Naseri, and Iraj Aghaei, and Morteza Ashrafi, and Roxana Emamhadi, and Sasan Andalib
Brachial Plexus and Peripheral Nerve Injury Center, Department of Neurosurgery, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.

Different mechanisms including knee dislocation, replacement surgery, nerve tumor, lumbar disc herniation, sharp injury, and gunshot wound lead to foot drop. Several surgical techniques have been used for treatment of foot drop, however, they have had sub-optimal outcomes. Soleus branch of tibial nerve is a good donor for nerve transfer for treatment of foot drop. In this is retrospective study, we reviewed medical records of 6 consecutive patients with sustained foot drop following injury to lumbar root or peroneal nerve, who underwent transfer of the soleus branch of tibial nerve to deep peroneal nerve during 2014-2016. The mean age of the patients was 44.8 years and duration of injury to surgery and follow-up was 8.3 and 14.6 months, respectively. At the end of the follow-up, ankle dorsiflexion force was M4 in two patients (with traumatic peroneal nerve injury with M3 toe extension) and was M2 in one patient. There were three patients with lumbar degenerative disease. Of these patients, two showed M0 and one patient experienced M1 ankle dorsiflexion. We recommend that transfer of soleus nerve to deep peroneal nerve is used as an alternative technique for treatment of foot drop.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010543 Peroneal Nerve The lateral of the two terminal branches of the sciatic nerve. The peroneal (or fibular) nerve provides motor and sensory innervation to parts of the leg and foot. Fibular Nerve,Fibular Nerves,Nerve, Fibular,Nerve, Peroneal,Nerves, Fibular,Nerves, Peroneal,Peroneal Nerves
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D016067 Nerve Transfer Surgical reinnervation of a denervated peripheral target using a healthy donor nerve and/or its proximal stump. The direct connection is usually made to a healthy postlesional distal portion of a non-functioning nerve or implanted directly into denervated muscle or insensitive skin. Nerve sprouts will grow from the transferred nerve into the denervated elements and establish contact between them and the neurons that formerly controlled another area. Nerve Crossover,Neurotization,Crossover, Nerve,Crossovers, Nerve,Nerve Crossovers,Nerve Transfers,Neurotizations,Transfer, Nerve,Transfers, Nerve
D059348 Peripheral Nerve Injuries Injuries to the PERIPHERAL NERVES. Peripheral Nerve Injury,Nerve Injuries, Peripheral,Nerve Injury, Peripheral
D020427 Peroneal Neuropathies Disease involving the common PERONEAL NERVE or its branches, the deep and superficial peroneal nerves. Lesions of the deep peroneal nerve are associated with PARALYSIS of dorsiflexion of the ankle and toes and loss of sensation from the web space between the first and second toe. Lesions of the superficial peroneal nerve result in weakness or paralysis of the peroneal muscles (which evert the foot) and loss of sensation over the dorsal and lateral surface of the leg. Traumatic injury to the common peroneal nerve near the head of the FIBULA is a relatively common cause of this condition. (From Joynt, Clinical Neurology, 1995, Ch51, p31) Neuropathy, Common Peroneal,Neuropathy, Deep Peroneal,Neuropathy, Superficial Peroneal,Common Peroneal Nerve Entrapment,External Popliteal Neuropathy,Fibular Nerve Diseases,Fibular Neuropathy,Foot Drop,Lateral Popliteal Neuropathy,Peroneal Mononeuropathies,Peroneal Nerve Diseases,Peroneal Nerve Entrapment,Peroneal Nerve Paralysis,Peroneal Palsy,Common Peroneal Neuropathies,Common Peroneal Neuropathy,Deep Peroneal Neuropathies,Deep Peroneal Neuropathy,Entrapment, Peroneal Nerve,External Popliteal Neuropathies,Fibular Nerve Disease,Fibular Neuropathies,Foot Drops,Lateral Popliteal Neuropathies,Mononeuropathy, Peroneal,Nerve Disease, Fibular,Nerve Entrapment, Peroneal,Nerve Paralysis, Peroneal,Neuropathies, Fibular,Neuropathy, External Popliteal,Neuropathy, Fibular,Neuropathy, Lateral Popliteal,Neuropathy, Peroneal,Palsy, Peroneal,Paralysis, Peroneal Nerve,Peroneal Mononeuropathy,Peroneal Nerve Disease,Peroneal Nerve Entrapments,Peroneal Nerve Paralyses,Peroneal Neuropathy,Peroneal Neuropathy, Deep,Peroneal Neuropathy, Superficial,Peroneal Palsies,Popliteal Neuropathy, External,Popliteal Neuropathy, Lateral,Superficial Peroneal Neuropathies,Superficial Peroneal Neuropathy

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