Abstract
The management of complete traumatic common peroneal nerve palsy is very challenging and functional results are highly variable. Many surgical techniques have been described including neurolysis, nerve reconstructions, nerve and tendon transfers, or combinations thereof. Multiple variables play a role in the choice of the reconstructive technique and in determining outcomes, among these the time elapsed from the trauma. A case of a chronic traumatic complete palsy of the common peroneal nerve in a 35-year-old patient is presented, in which a transfer of the tibialis posterior to the tibialis anterior and of the flexor digitorum longus to the extensor digitorum longus and extensor hallucis longus tendons according to the Vigasio’s technique was performed. At the final follow-up the recovery was satisfactory, allowing the patient to regain a good ambulation and to return to normal daily and work activities without the need for any orthosis and aids.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
De Marchi F, Malerba F, Montrasio Alfieri U, et al. Tibialis posterior tendon transfer through the interosseal membrane in paralysis of the common peroneal nerve. Foot Ankle Surg. 2000;6:19–25.
Emamhadi M, Naseri A, Aghaei I, et al. Soleus nerve transfer to deep peroneal nerve for treatment of foot drop. J Clin Neurosci. 2020;78:159–63.
Ferraresi S, Garozzo D, Buffatti P. Common peroneal nerve injuries: results with one-stage nerve repair and tendon transfer. Neurosurg Rev. 2003;26(3):175–9.
Garozzo D, Ferraresi S, Buffatti P. Surgical treatment of common peroneal nerve injuries: indications and results. A series of 62 cases. J Neurosurg Sci. 2004;48:105–12.
Giuffre JL, Bishop AT, Spinner RJ, et al. Partial tibial nerve transfer to the tibialis anterior motor branch to treat peroneal nerve injury after knee trauma. Clin Orthop Relat Res. 2012;470:779–90.
Ho B, Khan Z, Switaj PJ, et al. Treatment of peroneal nerve injuries with simultaneous tendon transfer and nerve exploration. J Orthop Surg Res. 2014;9:67.
Kim DH, Murovic JA, Tiel RL, et al. Management and outcomes in 318 operative common peroneal nerve lesions at the Louisiana State University Health Science Center. Neurosurgery. 2004;54(6):1241–428.
Leclère FM, Badur N, Mathys L, et al. Nerve transfers for persistent traumatic peroneal nerve palsy: the Inselspital Bern experience. Neurosurgery. 2015;77(4):572–9.
Lingaiah P, Jaykumar K, Sural S, et al. Functional evaluation of early tendon transfer for foot drop. J Orthop Surg (Hong Kong). 2018;26(3):1–7.
Molund M, Engebretsen L, Hvaal K, et al. Posterior tibial tendon transfer improves function for foot drop after knee dislocation. Clin Orthop Relat Res. 2014;472(9):2637–43.
Nath RK, Lyons AB, Paizi M. Successful management of foot drop by nerve transfers to the deep peroneal nerve. J Reconstr Microsurg. 2008;24(6):419–27.
Samson D, Ng CY, Power D. An evidence-based algorithm for the management of common peroneal nerve injury associated with traumatic knee dislocation. EFORT Open Rev. 2017;1(10):362–7.
Terzis JK, Kostas I. Outcomes with microsurgery of common peroneal nerve lesions. J Plast Reconstr Aesthet Surg. 2020;73(1):72–80.
Vigasio A, Marcoccio I, Patelli A, et al. New tendon transfer for correction of drop-foot in common peroneal nerve palsy. Clin Orthop Relat Res. 2008;466(6):1454–66.
Werner BC, Norte GE, Hadeed MM, et al. Peroneal nerve dysfunction due to multiligament knee injury: patient characteristics and comparative outcomes after posterior tibial tendon transfer. Clin J Sport Med. 2017;27(1):10–9.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Section Editor information
Rights and permissions
Copyright information
© 2022 Springer Nature Switzerland AG
About this entry
Cite this entry
Colzani, G., Titolo, P., Battiston, B. (2022). Complete Peroneal Nerve Palsy: Functional Reconstruction with Tendon Transfers. In: Gravvanis, A., Kakagia, D.D., Ramakrishnan, V. (eds) Clinical Scenarios in Reconstructive Microsurgery. Springer, Cham. https://doi.org/10.1007/978-3-030-23706-6_94
Download citation
DOI: https://doi.org/10.1007/978-3-030-23706-6_94
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-23705-9
Online ISBN: 978-3-030-23706-6
eBook Packages: MedicineReference Module Medicine