AI Article Synopsis
- Damage to the common peroneal nerve is a common lower limb injury, and the study aimed to evaluate the recovery outcomes after surgery using neurolysis, direct suture, or nerve grafting in 20 patients.
- With an average follow-up of 48 months, both neurolysis and direct suture showed favorable motor recovery rates (approximately 80%), while nerve grafts resulted in poor recovery.
- The neurolysis group had the highest average Kitaoka score (83.7), indicating better functional outcomes compared to the direct suture (86.8) and nerve graft groups (73).
Article Abstract
Introduction: Damage to the common peroneal nerve is the most frequent nerve injury in lower limb traumas. Our objective was to assess the motor and sensory recovery levels and the functional outcomes after remedial surgery for common peroneal nerve trauma, through either neurolysis, direct suture or nerve graft.
Methods: This is a transversal, observational study of a monocentric cohort of 20 patients who underwent surgery between January 2004 and June 2016, which included 16 men and 4 women whose median age was 35 ± 11 years. We assessed the level of sensory and motor nerve recovery and the Kitaoka score. Nine patients benefited from neurolysis, 5 had direct sutures, and 6 received a nerve graft.
Results: With 48 months' average follow-up, 7 out of 9 patients underwent neurolysis and 4 out of 5 with direct sutures had good motor recovery (≥ M4), but none for the grafts. Sensory recovery (≥ S3) was satisfactory in 7 out of 9 cases in the neurolysis group, 3 out of 5 in the direct suture group, and 3 out of 6 in the nerve graft group. The average Kitaoka score was 83.7 ± 11.5 for the neurolysis group, 86.8 ± 16 for the direct suture group, and 73 ± 14 for the graft group.
Conclusion: Surgical treatment by neurolysis and direct suture yields good results with a motor recovery ratio nearing 80%. When a nerve graft becomes necessary, recovery is poor and resorting to palliative techniques in the shorter run is a strategy which should be evaluated.
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| http://dx.doi.org/10.1007/s00590-018-2354-0 | DOI Listing |
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