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Treatment of peroneal nerve injuries with simultaneous tendon transfer and nerve exploration.
J Orthop Surg Res. 2014 Aug 06; 9:67.JO

Abstract

BACKGROUND

Common peroneal nerve palsy leading to foot drop is difficult to manage and has historically been treated with extended bracing with expectant waiting for return of nerve function. Peroneal nerve exploration has traditionally been avoided except in cases of known traumatic or iatrogenic injury, with tendon transfers being performed in a delayed fashion after exhausting conservative treatment. We present a new strategy for management of foot drop with nerve exploration and concomitant tendon transfer.

METHOD

We retrospectively reviewed a series of 12 patients with peroneal nerve palsies that were treated with tendon transfer from 2005 to 2011. Of these patients, seven were treated with simultaneous peroneal nerve exploration and repair at the time of tendon transfer.

RESULTS

Patients with both nerve repair and tendon transfer had superior functional results with active dorsiflexion in all patients, compared to dorsiflexion in 40% of patients treated with tendon transfers alone. Additionally, 57% of patients treated with nerve repair and tendon transfer were able to achieve enough function to return to running, compared to 20% in patients with tendon transfer alone. No patient had full return of native motor function resulting in excessive dorsiflexion strength.

CONCLUSION

The results of our limited case series for this rare condition indicate that simultaneous nerve repair and tendon transfer showed no detrimental results and may provide improved function over tendon transfer alone.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25099247

Citation

Ho, Bryant, et al. "Treatment of Peroneal Nerve Injuries With Simultaneous Tendon Transfer and Nerve Exploration." Journal of Orthopaedic Surgery and Research, vol. 9, 2014, p. 67.
Ho B, Khan Z, Switaj PJ, et al. Treatment of peroneal nerve injuries with simultaneous tendon transfer and nerve exploration. J Orthop Surg Res. 2014;9:67.
Ho, B., Khan, Z., Switaj, P. J., Ochenjele, G., Fuchs, D., Dahl, W., Cederna, P., Kung, T. A., & Kadakia, A. R. (2014). Treatment of peroneal nerve injuries with simultaneous tendon transfer and nerve exploration. Journal of Orthopaedic Surgery and Research, 9, 67. https://doi.org/10.1186/s13018-014-0067-6
Ho B, et al. Treatment of Peroneal Nerve Injuries With Simultaneous Tendon Transfer and Nerve Exploration. J Orthop Surg Res. 2014 Aug 6;9:67. PubMed PMID: 25099247.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treatment of peroneal nerve injuries with simultaneous tendon transfer and nerve exploration. AU - Ho,Bryant, AU - Khan,Zubair, AU - Switaj,Paul J, AU - Ochenjele,George, AU - Fuchs,Daniel, AU - Dahl,William, AU - Cederna,Paul, AU - Kung,Theodore A, AU - Kadakia,Anish R, Y1 - 2014/08/06/ PY - 2014/04/28/received PY - 2014/07/17/accepted PY - 2014/8/8/entrez PY - 2014/8/8/pubmed PY - 2015/11/18/medline SP - 67 EP - 67 JF - Journal of orthopaedic surgery and research JO - J Orthop Surg Res VL - 9 N2 - BACKGROUND: Common peroneal nerve palsy leading to foot drop is difficult to manage and has historically been treated with extended bracing with expectant waiting for return of nerve function. Peroneal nerve exploration has traditionally been avoided except in cases of known traumatic or iatrogenic injury, with tendon transfers being performed in a delayed fashion after exhausting conservative treatment. We present a new strategy for management of foot drop with nerve exploration and concomitant tendon transfer. METHOD: We retrospectively reviewed a series of 12 patients with peroneal nerve palsies that were treated with tendon transfer from 2005 to 2011. Of these patients, seven were treated with simultaneous peroneal nerve exploration and repair at the time of tendon transfer. RESULTS: Patients with both nerve repair and tendon transfer had superior functional results with active dorsiflexion in all patients, compared to dorsiflexion in 40% of patients treated with tendon transfers alone. Additionally, 57% of patients treated with nerve repair and tendon transfer were able to achieve enough function to return to running, compared to 20% in patients with tendon transfer alone. No patient had full return of native motor function resulting in excessive dorsiflexion strength. CONCLUSION: The results of our limited case series for this rare condition indicate that simultaneous nerve repair and tendon transfer showed no detrimental results and may provide improved function over tendon transfer alone. SN - 1749-799X UR - https://www.unboundmedicine.com/medline/citation/25099247/Treatment_of_peroneal_nerve_injuries_with_simultaneous_tendon_transfer_and_nerve_exploration_ L2 - https://josr-online.biomedcentral.com/articles/10.1186/s13018-014-0067-6 DB - PRIME DP - Unbound Medicine ER -