Obturator to tibial nerve transfer via saphenous nerve graft for treatment of sacral plexus root avulsions: A cadaveric study - 10/04/20
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
Artículo gratuito.
Conéctese para beneficiarse!
Abstract |
Introduction |
In cases of sacral nerve avulsion injuries, proximal nerve stumps are not available because of its protected position in pelvis, and results of nerve repair or graft are unsatisfactory. Nerve transfer can reduce the regeneration time and improve the results of recovery.
Hypothesis |
The obturator nerve transfer to the tibial nerve via saphenous nerve graft is possible and feasible.
Materials and methods |
Ten male adult cadaveric lower limbs dissected to identify the location of the anterior branch of obturator nerve, the saphenous nerve and the medial gastrocnemius branch. The saphenous nerve was cut from its origin and transferred to the anterior branch of obturator nerve. As well, it was cut distally and transferred to the medial gastrocnemius branch. After nerve coaptation, surface area and fascicle count were determined by histological methods.
Results |
In all limbs, the proximal and distal stumps of saphenous nerve were reached the anterior branch of obturator and the medial gastrocnemius branch, respectively without tension. The mean of fascicle number in the anterior branch of obturator nerve, proximal and distal stump of the saphenous nerve and stump of medial gastrocnemius nerve branch were 2.90±0.99, 4.50±2.70, 4.00±2.26 and 4.30±1.25, respectively.
Discussion |
This study showed that it is possible to transfer the obturator nerve to the medial gastrocnemius branch via saphenous nerve bridge; and their histological parameters are match in a good manner. Therefore, this technique is suggested for patients with sacral nerve avulsion injuries.
Level of evidence |
IV, case series of cadaveric study.
El texto completo de este artículo está disponible en PDF.Keywords : Sacral nerve avulsion injury, Obturator nerve, Tibial nerve, Nerve transfer
Esquema
Vol 106 - N° 2
P. 291-295 - avril 2020 Regresar al número
Artículo precedente
- Role of MRI in the assessment of interbody fusion with tantalum intervertebral implant
- Jonathan Lebhar, Pierre Kriegel, Raphaël Guillin, Patrick Chatellier, Mickael Ropars, Denis Huten
- Psychological effects of traumatic upper-limb amputations
- Germain Pomares, Henry Coudane, François Dap, Gilles Dautel
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.