Femoral branch to obturator nerve transfer for restoration of thigh adduction following iatrogenic injury.
J Neurosurg
; 114(6): 1529-33, 2011 Jun.
Article
en En
| MEDLINE
| ID: mdl-21351833
ABSTRACT
Obturator nerve injury is a rare complication of pelvic surgery. A variety of management strategies have been reported, with conservative measures being the preferred treatment in most cases. While nerve transfer has become more commonly used for restoring brachial plexus injuries, it has rarely been applied to the lower extremities. To the authors' knowledge, this is the first report of an obturator nerve neurotization. A patient presented 7 months after an iatrogenic right obturator nerve palsy due to pelvic surgery for gynecological malignancy. She underwent a femoral branch to obturator nerve transfer to restore right thigh adduction. Ten months after the neurotization procedure, there was electromyographic evidence of almost complete obturator nerve reinnervation. At 1 year postoperatively, the patient had regained full muscle strength on thigh adduction and a normal gait. Nerve transfer could therefore be a good option in patients with obturator nerve injury whose symptoms fail to respond to conservative medical therapy.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos Ginecológicos
/
Transferencia de Nervios
/
Enfermedades del Sistema Nervioso Periférico
/
Nervio Femoral
/
Nervio Obturador
Tipo de estudio:
Etiology_studies
Límite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
J Neurosurg
Año:
2011
Tipo del documento:
Article
País de afiliación:
Estados Unidos