Repair of a transected sciatic nerve. A study of nerve regeneration and functional recovery

Management and outcomes in 353 surgically treated sciatic nerve lesions

“…Many of these femoral shaft fractures required open reduction and internal fixation. 1,9,25 Thirty-four patients required surgical exploration because their injuries failed to improve spontaneously. Seventeen underwent neurolysis, and only one was eligible for end-to-end suture repair of a focal injury created by a fracture, whereas 16 received graft repairs because stretch damage usually involved a considerable length of nerve.…”

Femoral Nerve Injury: Complication After Hip Arthroplasty and Secondary Acetabular Fracture: A Case Report and Review of Literature

“…Moreover, Simmons et al have reported that femoral nerve paralysis in hip arthroplasties may reach 2%; however, most patients present complete recovery at 12 months (12). Sunderland et al has reported up to 2% of transient neurological injuries, but 0.5% may have permanent neurological damage after a primary hip prosthesis (13). Al-Ajmi et al have reported that the risk of nerve injury due to an anterior approach after hip arthroplasty is very rare, meanwhile riskier than the posterior approach (1).…”

Successful delayed reconstruction of common peroneal neuroma‐in‐continuity using sural nerve graft

“…It is well known, that nerve regeneration happens at a rate of ∼ 1 mm per day,20, 22 motor endplates perish 12–16 months after denervation,20 and that the innervated muscles stay viable 18–24 months postinjury 15. When regeneration rate and distance to cover are disproportionate, this results in irreversible degeneration and fibrosis, associated with permanent paralysis of the denervated muscles 23. The use of a nerve bypass to augment peripheral axonal growth while avoiding further loss of the native nerve with leaving the neuroma in place and inserting an additional path for axonal regrowth by two sequential end‐to‐side neurorrhaphies has been suggested to solve this problem 8, 9…”