Translocation of the soleus muscular branch of the tibial nerve to repair high common peroneal nerve injury

Chen, Huihao; Meng, Depeng; Yin, Gang; Hou, Chunlin; Lin, Haodong

doi:10.1007/s00701-018-03797-x

Cited by 15 publications

(18 citation statements)

References 27 publications

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“…Reports had found the prognosis of injured CPN at the thigh level was slightly better than that at the hip area [16]. In renent years, a growing number of reports found that the peroneal nerve of the sciatic nerve was more vulnerable and di cult to recover [4,14,17]. We also found CPN injuries after hip arthroplasty had better prognosis than that of knee arthroplasty.…”

Section: Discussionmentioning

confidence: 51%

“…While previously published papers showed encouraging clinical results [1,[8][9][10], some recent studies showed pessimistic results with CPN injuries. Compared with injured tibial nerve, the functional recovery of injured CPN was often unsatisfactory, the mechanism of which was still not clear [11][12][13][14][15][16]. Terzis showed that associated fractures and/or vascular injury, the mechanism and type of injury, denervation time, nerve gap and graft length, and the surgical strategies might affect the functional outcome of CPN [17].…”

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confidence: 99%

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Prognostic factors in patients who underwent surgery for common peroneal nerve injury：a nest case-control study

Liu

Yushan

Liu

et al. 2021

Preprint

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Background：Common peroneal nerve (CPN) injury is one of the most common nerve injuries in the lower extremities and the motor functional recovery of injured common peroneal nerve (CPN) was often unsatisfactory, the mechanism of which is still controversial. The purpose of this retrospective study was to determine the prognostic factors in patients who underwent surgery for CPN injury and provide a tool for clinicians to assess the patients’ prognosis. Methods：This is a retrospective cohort study of all patients who underwent neural exploration for injured CPN from 2009 to 2019. A total of 387 patients with postoperative follow-up more than 12 months were included in the final analysis. We used univariate logistics regression analyses to explore explanatory variables which were associated with recovery of neurological function. By applying multivariable logistic regression analysis, we determined variables incorporated into clinical prediction model, developed a nomogram by the selected variables, and then assessed discrimination of the model by the area under the curve (AUC) of the receiver operating characteristic (ROC) curve.Results：The case group included 67 patients and the control group 320 patients. Multivariate logistic regression analysis showed that area (urban vs rural, OR=3.35), occupation(“blue trouser” worker vs “white-trouser” worker, OR=4.39), diabetes (OR=11.68), cardiovascular disease (OR=51.35), knee joint dislocation (OR=14.91), proximal fibula fracture (OR=3.32), tibial plateau fracture (OR=9.21), vascular injury (OR=5.37) and hip arthroplasty (OR=75.96) injury increased the risk of poor motor functional recovery of injured CPN, while high preoperative muscle strength (OR=0.18) and postoperative knee joint immobilization (OR=0.11) decreased this risk of injured CPN. AUC of the nomogram was 0.904 and 95% CI was 0.863-0.946.Conclusions：Area, occupation, diabetes, cardiovascular disease, knee joint dislocation, proximal fibula fracture, tibial plateau fracture, vascular injury and hip arthroplasty injury are independent risk factors of motor functional recovery of injured CPN, while high preoperative muscle strength and postoperative knee joint immobilization are protective factor of motor functional recovery of injured CPN. The prediction nomogram can provide a tool for clinicians to assess the prognosis of injured CPN.

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Section: Discussionmentioning

confidence: 51%

mentioning

confidence: 99%

Prognostic factors in patients who underwent surgery for common peroneal nerve injury：a nest case-control study

Liu

Yushan

Liu

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Reports had found the prognosis of injured CPN at the thigh level was slightly better than that at the hip area [16]. In renent years, a growing number of reports found that the peroneal nerve of the sciatic nerve was more vulnerable and difficult to recover [4,14,17]. We also found CPN injuries after hip arthroplasty had better prognosis than that of knee arthroplasty.…”

Section: Discussionmentioning

confidence: 54%

“…However, the part of the CPN from the terminal division of the sciatic nerve to the fibular neck were supplied by a single blood vessel (97.2%) [26]. Hence, the CPN tended to have a poor prognosis after injuries with the necrosis of nerve ischemic edema, Wallerian degeneration, and the formation of fibrous scar [14,16].…”

Section: Discussionmentioning

confidence: 99%

“…Muscular strength of ankle dorsiflexion and toe dorsal extension was assessed according to the British Medical Research Council (BMRC) scoring system at patient's last visit. The clinical outcomes were categorized as poor (case group) if the muscular strength of ankle dorsiflexion or toe extension ≤ M2, and as good (control group) if the muscular strength ankle dorsiflexion and toe extension ≥ M3 [14].…”

Section: Methodsmentioning

confidence: 99%

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Analysis of Prognostic Risk Factors for Operative Common Peroneal Nerve: A Nest Case-Control Study

Liu¹,

Yushan²,

Liu³

et al. 2020

Preprint

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Background Common peroneal nerve (CPN) injury is one of the most common nerve injuries in the lower extremities and the motor functional recovery of injured common peroneal nerve (CPN) was often unsatisfactory, the mechanism of which is still controversial. The purpose of this retrospective study was to determine the factors associated with the neural recovery of injured CPN in patients undergoing surgical exploration of CPN.Methods This is a retrospective cohort study of all patients who underwent neural exploration for injured CPN from 2009 to 2019. A total of 387 patients with postoperative follow-up more than 12 months were included in the final analysis. We used univariate logistics regression analyses to assess which explanatory variables are associated with recovery of neurological function. We used multivariable logistic regression analysis to determine variables incorporated into clinical prediction model, developed a nomogram by the selected variables, and then assessed discrimination of the model by the area under the curve (AUC) of the receiver operating characteristic (ROC) curve.Results There were 67 patients divided into case group and 320 patients divided into control group. In multivariate logistic regression analysis, we found that city area (OR = 3.35), labor occupation (OR = 4.39), diabetes (OR = 11.68), cardiovascular disease (OR = 51.35), knee joint dislocation (OR = 14.91), proximal fibula fracture (OR = 3.32), tibial plateau fracture (OR = 9.21), vascular injury (OR = 5.37) and hip arthroplasty (OR = 75.96) injury increased the risk of poor motor functional recovery of injured CPN, while high preoperative muscle strength (OR = 0.18) and postoperative knee joint immobilization (OR = 0.11) decreased this risk of injured CPN. AUC of the nomogram was 0.904 and 95% CI was 0.863–0.946.Conclusions City area, labor occupation, diabetes, cardiovascular disease, knee joint dislocation, proximal fibula fracture, tibial plateau fracture, vascular injury and hip arthroplasty injury are independent risk factors of motor functional recovery of injured CPN, while high preoperative muscle strength and postoperative knee joint immobilization are protective factor of motor functional recovery of injured CPN. The prediction nomogram can be used to predict the prognosis of injured CPN.

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Traumatische Nervenläsionen der unteren Extremität

Dengler¹,

Harhaus²

2021

Chirurgie Peripherer Nerven Kompakt

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Translocation of the soleus muscular branch of the tibial nerve to repair high common peroneal nerve injury

Cited by 15 publications

References 27 publications

Prognostic factors in patients who underwent surgery for common peroneal nerve injury：a nest case-control study

Prognostic factors in patients who underwent surgery for common peroneal nerve injury：a nest case-control study

Analysis of Prognostic Risk Factors for Operative Common Peroneal Nerve: A Nest Case-Control Study

Traumatische Nervenläsionen der unteren Extremität

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