Functional limb salvage combining gastrocnemius neurotization and posterior tibial nerve grafting: A case report

T. J. Francel, A. L. Dellon, A. L. Van Beek, G. Landis

Research output: Contribution to journalArticlepeer-review

Abstract

Functional limb salvage requires motor and sensory reconstruction of the extremity. An avulsion of the tibial nerve in the popliteal fossa after arthroscopy is presented. Functional limb recovery necessitated intraoperative nerve mapping by awake stimulation, neurotization of the gastrocnemius muscle bellies, and interfascicular posterior tibial nerve grafting. Eighteen-month follow-up demonstrated good gastrocnemius motor function and protective sensation on the plantar surface. The patient is ambulatory without the need of an assistive device.

Original languageEnglish (US)
Pages (from-to)209-213
Number of pages5
JournalJournal of reconstructive microsurgery
Volume8
Issue number3
DOIs
StatePublished - 1992
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

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