Contralateral Obturator to Femoral Nerve Branch Transfer for Multilevel Lumbosacral Plexus Avulsion Injury.


Journal

Plastic and reconstructive surgery. Global open
ISSN: 2169-7574
Titre abrégé: Plast Reconstr Surg Glob Open
Pays: United States
ID NLM: 101622231

Informations de publication

Date de publication:
Dec 2021
Historique:
received: 03 10 2021
accepted: 29 10 2021
entrez: 15 12 2021
pubmed: 16 12 2021
medline: 16 12 2021
Statut: epublish

Résumé

We report successful restoration of quadriceps function following contralateral obturator to lateral branch of the femoral nerve transfer (with intervening autograft) in two patients with multilevel lumbosacral root avulsions, resulting in severe unilateral motor and sensory deficits. Three years postoperatively, patient 1 had regained Medical Research Council grade 3 knee extension with the ability to extend against 10 pounds of resistance. At 28 months postoperatively, patient 2 had regained Medical Research Council grade 2 knee extension. Treatment options for severe lumbosacral plexus injuries with multiple root avulsions are limited. This approach offers a new option for these devastating injuries.

Identifiants

pubmed: 34909358
doi: 10.1097/GOX.0000000000003997
pmc: PMC8663814
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e3997

Informations de copyright

Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.

Déclaration de conflit d'intérêts

Disclosure: The authors have no financial interest to declare in relation to the content of this article.

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Auteurs

D Spencer Nichols (DS)

Division of Plastic and Reconstructive Surgery, University of Florida College of Medicine, Gainesville, Fla.

Harvey Chim (H)

Division of Plastic and Reconstructive Surgery, University of Florida College of Medicine, Gainesville, Fla.

Classifications MeSH