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Short- and long-term results of common peroneal nerve injuries treated by neurolysis, direct suture or nerve graft

  • C. HorteurEmail author
  • A. Forli
  • D. Corcella
  • R. Pailhé
  • G. Lateur
  • D. Saragaglia
Original Article • KNEE - TRAUMA
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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.

Keywords

Common peroneal nerve Suture Nerve graft Neurolysis 

Notes

Compliance with ethical standards

Conflict of interest

The authors hereby declare no conflict of interest.

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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2018

Authors and Affiliations

  • C. Horteur
    • 2
    Email author
  • A. Forli
    • 1
  • D. Corcella
    • 1
  • R. Pailhé
    • 2
  • G. Lateur
    • 2
  • D. Saragaglia
    • 2
  1. 1.Department of Hand and Reconstructive SurgeryGrenoble North University HospitalLa TroncheFrance
  2. 2.Department of Orthopaedic Surgery and Sports TraumatologyGrenoble South University HospitalEchirollesFrance

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