Francel T J, Dellon A L
Division of Plastic Surgery, Washington University, Saint Louis, Missouri.
J Reconstr Microsurg. 1992 May;8(3):209-13; discussion 213-4. doi: 10.1055/s-2007-1006702.
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.
肢体功能保全需要对肢体进行运动和感觉重建。本文介绍了一例关节镜检查后腘窝处胫神经撕脱的病例。肢体功能恢复需要术中通过清醒刺激进行神经定位、腓肠肌肌腹神经移植以及束间胫后神经移植。18个月的随访显示腓肠肌运动功能良好，足底有保护性感觉。患者无需辅助装置即可行走。
