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Interosseous nerve transfers for tibialis anterior muscle paralysis (foot drop): a human cadaver-based feasibility study.
J Reconstr Microsurg. 2009 Mar; 25(3):203-11.JR

Abstract

This study explored the anatomical feasibility of using an interosseous nerve transfer (routed between the tibia and fibula) to restore motor function to the tibialis anterior (TA) muscle, following injury to the common peroneal nerve (resulting in a foot drop). The specific nerve branches evaluated as possible donor nerves included the nerves to the medial gastrocnemius, the lateral gastrocnemius, and the soleus muscles. All nerve transfers were accomplished using a direct interosseous route and a direct repair (one medial gastrocnemius transfer did require interpositional grafting). The distance from the repair site to the TA muscle was shortest for the transfer using the nerve branch to the soleus. Histologically, the nerve branch to the soleus was most similar to the branch to the TA for both axonal count and cross-sectional area. A two-incision surgical approach using a fibular window (mobilizing a fibular segment after double osteotomy) and interosseous routing of the transfer is proposed.

Authors+Show Affiliations

Department of Orthopedic Surgery, Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, El Paso, Texas 79905, USA. Miguel.Cruz@ttuhsc.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19048462

Citation

Pirela-Cruz, Miguel A., et al. "Interosseous Nerve Transfers for Tibialis Anterior Muscle Paralysis (foot Drop): a Human Cadaver-based Feasibility Study." Journal of Reconstructive Microsurgery, vol. 25, no. 3, 2009, pp. 203-11.
Pirela-Cruz MA, Hansen U, Terreros DA, et al. Interosseous nerve transfers for tibialis anterior muscle paralysis (foot drop): a human cadaver-based feasibility study. J Reconstr Microsurg. 2009;25(3):203-11.
Pirela-Cruz, M. A., Hansen, U., Terreros, D. A., Rossum, A., & West, P. (2009). Interosseous nerve transfers for tibialis anterior muscle paralysis (foot drop): a human cadaver-based feasibility study. Journal of Reconstructive Microsurgery, 25(3), 203-11. https://doi.org/10.1055/s-0028-1104548
Pirela-Cruz MA, et al. Interosseous Nerve Transfers for Tibialis Anterior Muscle Paralysis (foot Drop): a Human Cadaver-based Feasibility Study. J Reconstr Microsurg. 2009;25(3):203-11. PubMed PMID: 19048462.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Interosseous nerve transfers for tibialis anterior muscle paralysis (foot drop): a human cadaver-based feasibility study. AU - Pirela-Cruz,Miguel A, AU - Hansen,Uel, AU - Terreros,Daniel A, AU - Rossum,Alfred, AU - West,Priscilla, Y1 - 2008/12/01/ PY - 2008/12/3/pubmed PY - 2009/5/9/medline PY - 2008/12/3/entrez SP - 203 EP - 11 JF - Journal of reconstructive microsurgery JO - J Reconstr Microsurg VL - 25 IS - 3 N2 - This study explored the anatomical feasibility of using an interosseous nerve transfer (routed between the tibia and fibula) to restore motor function to the tibialis anterior (TA) muscle, following injury to the common peroneal nerve (resulting in a foot drop). The specific nerve branches evaluated as possible donor nerves included the nerves to the medial gastrocnemius, the lateral gastrocnemius, and the soleus muscles. All nerve transfers were accomplished using a direct interosseous route and a direct repair (one medial gastrocnemius transfer did require interpositional grafting). The distance from the repair site to the TA muscle was shortest for the transfer using the nerve branch to the soleus. Histologically, the nerve branch to the soleus was most similar to the branch to the TA for both axonal count and cross-sectional area. A two-incision surgical approach using a fibular window (mobilizing a fibular segment after double osteotomy) and interosseous routing of the transfer is proposed. SN - 0743-684X UR - https://www.unboundmedicine.com/medline/citation/19048462/Interosseous_nerve_transfers_for_tibialis_anterior_muscle_paralysis__foot_drop_:_a_human_cadaver_based_feasibility_study_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-0028-1104548 DB - PRIME DP - Unbound Medicine ER -