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Partial tibial nerve transfer to tibialis anterior for traumatic peroneal nerve palsy.
Microsurgery. 2017 Sep; 37(6):596-602.M

Abstract

BACKGROUND

Partial tibial nerve transfer to the motor branches of tibialis anterior is an emerging reconstructive technique for the treatment of traumatic common peroneal nerve (CPN) injury; however, few papers in the literature describe clinical outcomes.

METHODS

A prospective single-surgeon series of nine consecutive patients who underwent partial tibial nerve transfers to the motor branches of tibialis anterior for traumatic CPN injuries between 2008 and 2014. Eight patients were male and the average age at operation was 28.2 years old (range 21-39). All nine patients experienced high-energy CPN injuries. The average time to operation was 5.8 months (range 1-10) and all patients scored M0 for ankle dorsiflexion preoperatively according to the Medical Research Council (MRC) grading system. Outcome parameters included time since operation, postoperative MRC grade for ankle dorsiflexion, and the use of an orthosis for walking.

RESULTS

Seven of nine patients achieved an MRC grade of ≥M4, allowing for active dorsiflexion against gravity and some resistance, by a mean of 16.7 months postoperatively (range 8-26) and no longer required an orthosis for walking. No complications were recorded during the procedures, nor were any compromises to the tibial nerve donor site during follow-up. No patients were lost to follow-up with an average follow-up period of 30.8 months (range 15-61).

CONCLUSIONS

This series provides good evidence that this evolving reconstructive technique may achieve excellent results and should be considered in traumatic common peroneal nerve injuries that would traditionally rely on conventional nerve grafting alone.

Authors+Show Affiliations

Victorian Plastic Surgery Unit, St Vincent's Private Hospital, East Melbourne, Victoria, Australia.Victorian Plastic Surgery Unit, St Vincent's Private Hospital, East Melbourne, Victoria, Australia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28449390

Citation

Ferris, Scott, and Simon J. Maciburko. "Partial Tibial Nerve Transfer to Tibialis Anterior for Traumatic Peroneal Nerve Palsy." Microsurgery, vol. 37, no. 6, 2017, pp. 596-602.
Ferris S, Maciburko SJ. Partial tibial nerve transfer to tibialis anterior for traumatic peroneal nerve palsy. Microsurgery. 2017;37(6):596-602.
Ferris, S., & Maciburko, S. J. (2017). Partial tibial nerve transfer to tibialis anterior for traumatic peroneal nerve palsy. Microsurgery, 37(6), 596-602. https://doi.org/10.1002/micr.30174
Ferris S, Maciburko SJ. Partial Tibial Nerve Transfer to Tibialis Anterior for Traumatic Peroneal Nerve Palsy. Microsurgery. 2017;37(6):596-602. PubMed PMID: 28449390.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Partial tibial nerve transfer to tibialis anterior for traumatic peroneal nerve palsy. AU - Ferris,Scott, AU - Maciburko,Simon J, Y1 - 2017/04/27/ PY - 2016/01/25/received PY - 2017/02/12/revised PY - 2017/02/28/accepted PY - 2017/4/28/pubmed PY - 2018/7/17/medline PY - 2017/4/28/entrez SP - 596 EP - 602 JF - Microsurgery JO - Microsurgery VL - 37 IS - 6 N2 - BACKGROUND: Partial tibial nerve transfer to the motor branches of tibialis anterior is an emerging reconstructive technique for the treatment of traumatic common peroneal nerve (CPN) injury; however, few papers in the literature describe clinical outcomes. METHODS: A prospective single-surgeon series of nine consecutive patients who underwent partial tibial nerve transfers to the motor branches of tibialis anterior for traumatic CPN injuries between 2008 and 2014. Eight patients were male and the average age at operation was 28.2 years old (range 21-39). All nine patients experienced high-energy CPN injuries. The average time to operation was 5.8 months (range 1-10) and all patients scored M0 for ankle dorsiflexion preoperatively according to the Medical Research Council (MRC) grading system. Outcome parameters included time since operation, postoperative MRC grade for ankle dorsiflexion, and the use of an orthosis for walking. RESULTS: Seven of nine patients achieved an MRC grade of ≥M4, allowing for active dorsiflexion against gravity and some resistance, by a mean of 16.7 months postoperatively (range 8-26) and no longer required an orthosis for walking. No complications were recorded during the procedures, nor were any compromises to the tibial nerve donor site during follow-up. No patients were lost to follow-up with an average follow-up period of 30.8 months (range 15-61). CONCLUSIONS: This series provides good evidence that this evolving reconstructive technique may achieve excellent results and should be considered in traumatic common peroneal nerve injuries that would traditionally rely on conventional nerve grafting alone. SN - 1098-2752 UR - https://www.unboundmedicine.com/medline/citation/28449390/Partial_tibial_nerve_transfer_to_tibialis_anterior_for_traumatic_peroneal_nerve_palsy_ L2 - https://doi.org/10.1002/micr.30174 DB - PRIME DP - Unbound Medicine ER -