Nerve transfer in the spastic equino varus foot: Anatomical feasibility study.
Foot Ankle Surg
; 29(4): 346-349, 2023 Jun.
Article
em En
| MEDLINE
| ID: mdl-37095035
ABSTRACT
PURPOSE:
We want to evaluate the feasibility of transferring a motor branch of the anterior tibial muscle (ATM) to the extensor digitorum longus (EDL) to evaluate this procedure in patients with spastic equinovarus foot (EVF) following post-stroke hemiplegia.METHODS:
Ten cadaveric dissections from five fresh frozen human cadavers were performed to establish the anatomic feasibility of transferring a motor branch of the deep peroneal nerve, usually destinated to the ATM, to the branch of the EDL to manage spastic EVF.RESULTS:
Six cases (60%) presented three branches destinated to the ATM, one case (10%) presented give branches, and three cases (30%) had four branches. In all specimens, the coaptation between the motor branch to the ATM, referred as the "effector" branch, and the branch of the EDL "receiver" branch was feasible without tension and did not require any intraneural dissection.CONCLUSION:
This anatomical study confirms the feasibility of transferring a motor branch from the ATM to the EDL to correct a spastic EVF.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pé Torto Equinovaro
/
Transferência de Nervo
Tipo de estudo:
Etiology_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article