Functional reconstruction of lower extremity nerve injuries

نویسندگان

چکیده

Peripheral nerve injuries (PNI) in the lower extremity are an uncommon but highly morbid condition. Recent advances our understanding of physiology and microsurgical techniques have inspired renewed faith surgery sparked a creative renaissance tools, approaches, reconstructive schemas available to surgeons management PNIs. In this article, we review literature provide principles-based approach for surgical PNIs with emphasis on functional reconstruction after complete injury. General principles include early diagnosis electrodiagnostics imaging, exploration, opting tendon transfers when primary injured is unfavorable (e.g., delayed reconstruction, unavailability proximal or distal stumps, long regenerative distance). The goal should be restore independent gait, so roles major neuromuscular units during gait cycle informs selection donor nerves tendons transfer. Based these date, specific algorithms presented femoral, sciatic, tibial, common peroneal nerves. We recognize limitations current literature, namely predominance case series evidence, call accrual more patient data

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ژورنال

عنوان ژورنال: Plastic and Aesthetic Research

سال: 2022

ISSN: ['2347-9264', '2349-6150']

DOI: https://doi.org/10.20517/2347-9264.2021.126