Soleus nerve transfer to deep peroneal nerve for treatment of foot drop

Emamhadi, Mohammadreza; Naseri, Amin; Aghaei, Iraj; Ashrafi, Morteza; Emamhadi, Roxana; Andalib, Sasan

doi:10.1016/j.jocn.2020.04.086

Cited by 16 publications

(14 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nath et al 25 used the superficial peroneal and documented promising results. Flores et al, 10 Chen et al, 3 and Emamhadi et al 8 used exclusively the branch to soleus, whereas Giuffre et al, 14 similar to our technique, preferred fascicles to the FDL or FHL. In addition, Leclère et al, 23 as per our technique, used the lateral gastrocnemius branch.…”

Section: Discussionmentioning

confidence: 78%

“…Comparably, Nath and Somasundaram 26 and Chen et al 3 achieved M3 grade or more in 42.9% and 50% of their patients, respectively. Emamhadi et al 8 regained M4 grade in 2 of 6 patients, M2 in 1 patient, and M1 in 1 patient, while 2 of 6 patients continued to have M0 grade.…”

Section: Discussionmentioning

confidence: 94%

“…In this context, we performed a double transfer technique in contrast to all previous reports that applied only a single nerve transfer. 3,8,10,13,23,25…”

Section: Discussionmentioning

confidence: 99%

“…15,33,34,38 Various anatomical feasibility studies, similarly, supported the use of a single nerve transfer technique for the treatment of neurologic foot drop. 1,9,29 Tibial nerve branches to the lateral head of the gastrocnemius, 23,25 soleus, 3,8,10,25 or flexor hallucis longus (FHL) and flexor digitorum longus (FDL) muscles 14 were previously investigated as possible donors to neurotize the injured deep peroneal nerve. However, Gousheh and Babaei 16 commenced a theory stating that the more the number of available axons, the better the outcome after nerve transfer.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Foot Reanimation Using Double Nerve Transfer to Deep Peroneal Nerve: A Novel Technique for Treatment of Neurologic Foot Drop

et al. 2021

View full text Add to dashboard Cite

Background: Our primary objective was to assess the efficacy of a new technique for foot reanimation in patients with neurologic foot drop using double nerve transfer from the tibial to the deep peroneal nerve. Our secondary objective was to document the technical nuances of our technique. Methods: Thirty-one patients with common peroneal nerve injury between October 2015 and March 2019 were prospectively enrolled in the study. Patients underwent a transfer of the tibial nerve branches to flexor digitorum longus and lateral head of gastrocnemius to the deep peroneal nerve. Motor recovery, range of ankle dorsiflexion, pain, leg girth, and complications were examined as outcome measures. The modified Medical Research Council (MRC) scale was adopted to assess the motor power recovery. All patients were followed up for a minimum of 1 year. Results: Motor recovery of M3 or M4 grade of tibialis anterior, extensor hallucis longus, and extensor digitorum longus was achieved in 15 of 31, 13 of 31, and 12 of 31 patients, respectively. Those patients could discontinue use of orthosis. Most patients with high-energy traumas or knee-level injuries failed to recover antigravity function. Only 2 patients reported weak postoperative toe plantarflexion. Our patients achieved significant improvement of the pain perception and range of active ankle motion at the final follow-up. Conclusion: The double nerve transfer technique represented a feasible and safe surgical option. It has been shown to improve function in some patients with neurologic foot drop resulting from a less than 12-month injury of the deep peroneal nerve. Level of Evidence: Level IV, therapeutic.

show abstract

Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 94%

“…In this context, we performed a double transfer technique in contrast to all previous reports that applied only a single nerve transfer. 3,8,10,13,23,25…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Foot Reanimation Using Double Nerve Transfer to Deep Peroneal Nerve: A Novel Technique for Treatment of Neurologic Foot Drop

et al. 2021

View full text Add to dashboard Cite

show abstract

“…When viable anterior compartment muscles and distal nerve stumps are available, tibial to deep peroneal nerve transfers can be performed. Leclere et al [51] describe their experience in six patients, of whom, half gained MRC grade 4 strength or better. Another series of soleus branch to deep peroneal nerve transfers demonstrated MRC grade 4 strength in two of six patients, with the remaining patients having grade 2 or worse [52] .…”

Section: Reconstruction Of Isolated Common Peroneal Nerve Injuriesmentioning

confidence: 99%

Functional reconstruction of lower extremity nerve injuries

Qiu¹,

Hanwright²,

Khavanin³

et al. 2022

Plast Aesthet Res

View full text Add to dashboard Cite

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

show abstract