Interosseous Nerve Transfers for Tibialis Anterior Muscle Paralysis (Foot Drop): A Human Cadaver-Based Feasibility Study
ABSTRACT This study explored the anatomical feasibility of using an interosseous nerve transfer (routed between the tibia and fibula) to restore motor function to the tibialis anterior (TA) muscle, following injury to the common peroneal nerve (resulting in a foot drop). The specific nerve branches...
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| Veröffentlicht in: | Journal of reconstructive microsurgery 2009-03, Vol.25 (3), p.203-211 |
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| container_title | Journal of reconstructive microsurgery |
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| creator | Pirela-Cruz, Miguel A Hansen, Uel Terreros, Daniel A Rossum, Alfred West, Priscilla |
| description | ABSTRACT
This study explored the anatomical feasibility of using an interosseous nerve transfer (routed between the tibia and fibula) to restore motor function to the tibialis anterior (TA) muscle, following injury to the common peroneal nerve (resulting in a foot drop). The specific nerve branches evaluated as possible donor nerves included the nerves to the medial gastrocnemius, the lateral gastrocnemius, and the soleus muscles. All nerve transfers were accomplished using a direct interosseous route and a direct repair (one medial gastrocnemius transfer did require interpositional grafting). The distance from the repair site to the TA muscle was shortest for the transfer using the nerve branch to the soleus. Histologically, the nerve branch to the soleus was most similar to the branch to the TA for both axonal count and cross-sectional area. A two-incision surgical approach using a fibular window (mobilizing a fibular segment after double osteotomy) and interosseous routing of the transfer is proposed. |
| doi_str_mv | 10.1055/s-0028-1104548 |
| format | Article |
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This study explored the anatomical feasibility of using an interosseous nerve transfer (routed between the tibia and fibula) to restore motor function to the tibialis anterior (TA) muscle, following injury to the common peroneal nerve (resulting in a foot drop). The specific nerve branches evaluated as possible donor nerves included the nerves to the medial gastrocnemius, the lateral gastrocnemius, and the soleus muscles. All nerve transfers were accomplished using a direct interosseous route and a direct repair (one medial gastrocnemius transfer did require interpositional grafting). The distance from the repair site to the TA muscle was shortest for the transfer using the nerve branch to the soleus. Histologically, the nerve branch to the soleus was most similar to the branch to the TA for both axonal count and cross-sectional area. A two-incision surgical approach using a fibular window (mobilizing a fibular segment after double osteotomy) and interosseous routing of the transfer is proposed.</description><identifier>ISSN: 0743-684X</identifier><identifier>EISSN: 1098-8947</identifier><identifier>DOI: 10.1055/s-0028-1104548</identifier><identifier>PMID: 19048462</identifier><identifier>CODEN: JRMIE2</identifier><language>eng</language><publisher>New York, NY: Thieme</publisher><subject>Biological and medical sciences ; Cadaver ; Cranial nerves. Peripheral nerves. Autonomic nervous system ; Feasibility Studies ; Female ; Gait Disorders, Neurologic - etiology ; General aspects ; Humans ; Male ; Medical sciences ; Middle Aged ; Muscle, Skeletal - anatomy & histology ; Muscle, Skeletal - innervation ; Nerve Transfer - methods ; Nervous system (semeiology, syndromes) ; Nervous system as a whole ; Neurology ; Neurosurgery ; Peroneal Nerve - anatomy & histology ; Peroneal Nerve - injuries ; Peroneal Neuropathies - complications ; Peroneal Neuropathies - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><ispartof>Journal of reconstructive microsurgery, 2009-03, Vol.25 (3), p.203-211</ispartof><rights>Thieme Medical Publishers</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c361t-b9cec3141c22732ec5e6c37172f053df1f9a0f7660133f81194f68b61e01a2a03</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0028-1104548.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><linktohtml>$$Uhttps://www.thieme-connect.de/products/ejournals/html/10.1055/s-0028-1104548$$EHTML$$P50$$Gthieme$$H</linktohtml><link.rule.ids>314,776,780,3004,3005,27901,27902,54534,54535</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21200638$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19048462$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pirela-Cruz, Miguel A</creatorcontrib><creatorcontrib>Hansen, Uel</creatorcontrib><creatorcontrib>Terreros, Daniel A</creatorcontrib><creatorcontrib>Rossum, Alfred</creatorcontrib><creatorcontrib>West, Priscilla</creatorcontrib><title>Interosseous Nerve Transfers for Tibialis Anterior Muscle Paralysis (Foot Drop): A Human Cadaver-Based Feasibility Study</title><title>Journal of reconstructive microsurgery</title><addtitle>J reconstr Microsurg</addtitle><description>ABSTRACT
This study explored the anatomical feasibility of using an interosseous nerve transfer (routed between the tibia and fibula) to restore motor function to the tibialis anterior (TA) muscle, following injury to the common peroneal nerve (resulting in a foot drop). The specific nerve branches evaluated as possible donor nerves included the nerves to the medial gastrocnemius, the lateral gastrocnemius, and the soleus muscles. All nerve transfers were accomplished using a direct interosseous route and a direct repair (one medial gastrocnemius transfer did require interpositional grafting). The distance from the repair site to the TA muscle was shortest for the transfer using the nerve branch to the soleus. Histologically, the nerve branch to the soleus was most similar to the branch to the TA for both axonal count and cross-sectional area. A two-incision surgical approach using a fibular window (mobilizing a fibular segment after double osteotomy) and interosseous routing of the transfer is proposed.</description><subject>Biological and medical sciences</subject><subject>Cadaver</subject><subject>Cranial nerves. Peripheral nerves. Autonomic nervous system</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Gait Disorders, Neurologic - etiology</subject><subject>General aspects</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Muscle, Skeletal - anatomy & histology</subject><subject>Muscle, Skeletal - innervation</subject><subject>Nerve Transfer - methods</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Nervous system as a whole</subject><subject>Neurology</subject><subject>Neurosurgery</subject><subject>Peroneal Nerve - anatomy & histology</subject><subject>Peroneal Nerve - injuries</subject><subject>Peroneal Neuropathies - complications</subject><subject>Peroneal Neuropathies - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><issn>0743-684X</issn><issn>1098-8947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1v1DAQhi0EotvClSPyBQSHFI_tOHFvy5allcqHxCJxs7zOWKTKx-JJKvbfk2gjOHEaaeaZdzQPYy9AXILI83eUCSHLDEDoXJeP2AqELbPS6uIxW4lCq8yU-scZOye6FwK0BfmUnYEVutRGrtjv227A1BNhPxL_jOkB-S75jiIm4rFPfFfva9_UxNczWU-dTyOFBvlXn3xzpGnyZtv3A79O_eHtFV_zm7H1Hd_4yj9gyt57wopv0dMU1NTDkX8bxur4jD2JviF8vtQL9n37Ybe5ye6-fLzdrO-yoAwM2d4GDAo0BCkLJTHkaIIqoJBR5KqKEK0XsTBGgFKxBLA6mnJvAAV46YW6YK9PuYfU_xqRBtfWFLBpfDe_7IyxWhkLE3h5AsOsI2F0h1S3Ph0dCDe7duRm125xPS28XJLHfYvVP3yROwGvFsBT8E2ctIaa_nISpBBGzUHZiRt-1tiiu-_H1E1O_nf4D_8qlHY</recordid><startdate>20090301</startdate><enddate>20090301</enddate><creator>Pirela-Cruz, Miguel A</creator><creator>Hansen, Uel</creator><creator>Terreros, Daniel A</creator><creator>Rossum, Alfred</creator><creator>West, Priscilla</creator><general>Thieme</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090301</creationdate><title>Interosseous Nerve Transfers for Tibialis Anterior Muscle Paralysis (Foot Drop): A Human Cadaver-Based Feasibility Study</title><author>Pirela-Cruz, Miguel A ; Hansen, Uel ; Terreros, Daniel A ; Rossum, Alfred ; West, Priscilla</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c361t-b9cec3141c22732ec5e6c37172f053df1f9a0f7660133f81194f68b61e01a2a03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Biological and medical sciences</topic><topic>Cadaver</topic><topic>Cranial nerves. Peripheral nerves. Autonomic nervous system</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Gait Disorders, Neurologic - etiology</topic><topic>General aspects</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Muscle, Skeletal - anatomy & histology</topic><topic>Muscle, Skeletal - innervation</topic><topic>Nerve Transfer - methods</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Nervous system as a whole</topic><topic>Neurology</topic><topic>Neurosurgery</topic><topic>Peroneal Nerve - anatomy & histology</topic><topic>Peroneal Nerve - injuries</topic><topic>Peroneal Neuropathies - complications</topic><topic>Peroneal Neuropathies - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pirela-Cruz, Miguel A</creatorcontrib><creatorcontrib>Hansen, Uel</creatorcontrib><creatorcontrib>Terreros, Daniel A</creatorcontrib><creatorcontrib>Rossum, Alfred</creatorcontrib><creatorcontrib>West, Priscilla</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of reconstructive microsurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pirela-Cruz, Miguel A</au><au>Hansen, Uel</au><au>Terreros, Daniel A</au><au>Rossum, Alfred</au><au>West, Priscilla</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Interosseous Nerve Transfers for Tibialis Anterior Muscle Paralysis (Foot Drop): A Human Cadaver-Based Feasibility Study</atitle><jtitle>Journal of reconstructive microsurgery</jtitle><addtitle>J reconstr Microsurg</addtitle><date>2009-03-01</date><risdate>2009</risdate><volume>25</volume><issue>3</issue><spage>203</spage><epage>211</epage><pages>203-211</pages><issn>0743-684X</issn><eissn>1098-8947</eissn><coden>JRMIE2</coden><abstract>ABSTRACT
This study explored the anatomical feasibility of using an interosseous nerve transfer (routed between the tibia and fibula) to restore motor function to the tibialis anterior (TA) muscle, following injury to the common peroneal nerve (resulting in a foot drop). The specific nerve branches evaluated as possible donor nerves included the nerves to the medial gastrocnemius, the lateral gastrocnemius, and the soleus muscles. All nerve transfers were accomplished using a direct interosseous route and a direct repair (one medial gastrocnemius transfer did require interpositional grafting). The distance from the repair site to the TA muscle was shortest for the transfer using the nerve branch to the soleus. Histologically, the nerve branch to the soleus was most similar to the branch to the TA for both axonal count and cross-sectional area. A two-incision surgical approach using a fibular window (mobilizing a fibular segment after double osteotomy) and interosseous routing of the transfer is proposed.</abstract><cop>New York, NY</cop><pub>Thieme</pub><pmid>19048462</pmid><doi>10.1055/s-0028-1104548</doi><tpages>9</tpages></addata></record> |
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| subjects | Biological and medical sciences Cadaver Cranial nerves. Peripheral nerves. Autonomic nervous system Feasibility Studies Female Gait Disorders, Neurologic - etiology General aspects Humans Male Medical sciences Middle Aged Muscle, Skeletal - anatomy & histology Muscle, Skeletal - innervation Nerve Transfer - methods Nervous system (semeiology, syndromes) Nervous system as a whole Neurology Neurosurgery Peroneal Nerve - anatomy & histology Peroneal Nerve - injuries Peroneal Neuropathies - complications Peroneal Neuropathies - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases |
| title | Interosseous Nerve Transfers for Tibialis Anterior Muscle Paralysis (Foot Drop): A Human Cadaver-Based Feasibility Study |
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