Delayed Presentation of Sciatic Nerve Injury with Gap: A Case Report with a Unique Solution from the Past
Ashwath M Acharya1, Anil K Bhat, Gayathri Jyothish
1Unit of Hand and Microsurgery, Department of Orthopaedics, Kasturba Medical College Hospital, Manipal, Manipal Academy of Higher Education, India.
Case:
A 35-year-old farmer presented with a foot ulcer on his left flail foot because of a sciatic nerve injury of 1-year duration. A gap of 11 cm was observed in the sciatic nerve for which he underwent 2-staged pedicled peroneal nerve grafting and posterior bone block procedure for the ankle. He had S3 grade sensation at 5-year follow-up without any recurrence of ulcer and a stable foot without external support for walking.
Conclusion:
Staged pedicled peroneal nerve grafting with a posterior bone block procedure is a viable solution for very large sciatic nerve defect with predictable results.
More Related Videos
06:31Automated Gait Analysis to Assess Functional Recovery in Rodents with Peripheral Nerve or Spinal Cord Contusion Injury
Published on: October 6, 2020
09:14Experimental Strategies to Bridge Large Tissue Gaps in the Injured Spinal Cord after Acute and Chronic Lesion
Published on: April 5, 2016