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... However, the residual effect of the incident is that he is lacking peroneal nerve function due to the impact of the helmet (sensory and motor) at the ankle region. ...
The reconstructive surgery consisted of harvesting part of the sural nerve from the same leg and was stitched in place of the deficient portion of the peroneal nerve. ... The branches consist of the tibial nerve and the common peroneal nerve. The tibial nerve innervates the muscles of the posterior part of the lower leg. The common peroneal nerve follows the tibial nerve down the leg until it reaches the posterior part of the knee in which it passes by the fibular head and goes to the anterior part of the leg. ...
The common peroneal nerve is very susceptible to injury due to the superficial location positioned around the bony fibular head (Wood, 1991). ...
The purpose of the paper is to find out what techniques that is available in peroneal nerve repair. ... The autograft nerve repair option will further be broken down into where the graft is coming from, which is the sural, peroneal, and tibial nerve regions.
Body
A nerve that is harvested from one site of an individual and transferred to the injured site (autograft) has advantages, as will be noted in the following paragraphs. The sural nerve, which is located on the posterior and lateral side of the lower leg, is a common autograft (Starkey, C and Ryan, J). ... The Wood article illustrates the usage of the sural nerve. ... The grading system that was used to test muscle strength after surgery was the British Medical Research Council Motor Grading System (BMRCMGS). ...
Ten of the twelve patients used the sural nerve as a graft to repair the peroneal nerve (Wood 1991). The two individuals had a small nerve-gap to repair and therefore did not need a graft for repair. ... Evidence shows that the time delay of treatment and how long the nerve graft may have some correlation to success of procedure (Wood, 1991). Nerve repair sites that were less than 6 cm long had good outcomes in strength. ...
Another study that used the sural nerve as an autograft was the Yamano article (Yamano, 1981). In this experiment, 40 rabbits had 2 cm nerve tissue taken from the peroneal region. ... At the end of the study, the peroneal nerve region was taken out and measured. ... Nerve conduction velocity also was near normal at the 24 month period, which was 74. ...
Sedel and Nizard show how doctors use the sural nerve to repair traction injuries of the common peroneal nerve on 17 patients (Sedel and Nizard, 1993). All of the patients had injured their knee with varus force causing the nerve to stretch and damage the nerve. The average time length between initial injury and repair of the nerve was 9 months.
Approximate Word count = 2326
Approximate Pages = 9.3
(250 words per page double spaced)
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