Buntic Rudolf F, Buncke Harry J, Kind Gabriel M, Chin Brian T, Ruebeck David, Buncke Gregory M
Department of Plastic Surgery and Division of Microsurgery, California Pacific Medical Center, San Francisco, USA.
Plast Reconstr Surg. 2002 Jan;109(1):145-51. doi: 10.1097/00006534-200201000-00024.
Potential donor nerves for autografting are finite and usually limited to cutaneous nerves of the extremities. The superficial peroneal nerve is the major lateral branch of the common peroneal nerve that innervates the peroneus longus and brevis muscles and provides sensation to the lateral aspect of the lower leg and the dorsal foot. It has generally been overlooked as a potential donor of nerve autografts. Cadaver dissections were performed on 10 fresh lower extremity specimens to investigate the anatomic characteristics of the superficial peroneal nerve and to refine a harvesting technique for the nerve. Thirty-one patients underwent nerve grafting of 39 upper and lower extremity nerves using the superficial peroneal donor. There were nine median nerves, four ulnar nerves, two radial nerves, two brachial plexus lesions, 16 digital nerves, and six lower extremity nerves grafted. The superficial peroneal nerve provided a consistently long donor, comparable in length to the sural nerve. The anatomic pattern is consistent, the patient positioning is simple, the surgical harvesting technique is straightforward, and the donor defect is acceptable. The superficial peroneal nerve provides a safe and valuable donor nerve, particularly in cases where multiple or very long nerve grafts are required.
用于自体移植的潜在供体神经数量有限，通常局限于四肢的皮神经。腓浅神经是腓总神经的主要外侧分支，支配腓骨长肌和腓骨短肌，并为小腿外侧和足背提供感觉。它通常被忽视作为神经自体移植的潜在供体。对10个新鲜下肢标本进行尸体解剖，以研究腓浅神经的解剖特征并完善该神经的取材技术。31例患者使用腓浅神经供体对39条上肢和下肢神经进行了神经移植。其中移植正中神经9条、尺神经4条、桡神经2条、臂丛神经损伤2例、指神经16条、下肢神经6条。腓浅神经作为供体神经长度稳定，与腓肠神经长度相当。其解剖模式一致，患者体位简单，手术取材技术直接，供体缺损可接受。腓浅神经是一种安全且有价值的供体神经，特别是在需要多条或非常长的神经移植物的情况下。
