Vayvada Haluk, Demirdöver Cenk, Menderes Adnan, Yılmaz Mustafa, Karaca Can
Department of Plastic Reconstructive and Aesthetic Surgery, Dokuz Eylül University, Faculty of Medicine, İzmir, Turkey.
Ulus Travma Acil Cerrahi Derg. 2013 Mar;19(2):109-14. doi: 10.5505/tjtes.2013.33279.
The sciatic and peroneal nerves are the most frequently injured in lower extremities, followed by tibial and femoral nerves. The aim of this study is to evaluate the functional results of acute nerve grafting in traumatic sciatic nerve injuries.
A total of 9 patients with sciatic nerve defect were treated with primary nerve grafting. The mean age was 31.7 years. The etiologic factors were gunshot wounds, traffic accident, and penetrating trauma.
All of the patients had sciatic nerve defects ranging from 3.4 to 13.6 cm. The follow-up period ranged between 25 and 84 months. The tibial nerve motor function was "good" or "very good" (M3-M4) in 5 patients (55.6%). The plantar flexion was not sufficient for the rest of the patients. The peroneal nerve motor function was also "good" and "very good" in 3 patients (33.3%).
The functional results of the acute nerve grafting of the sciatic nerve within the first week after the injury are poorer than reported in the related literature. This protocol should only be applied to select patients who have adequate soft tissue coverage and healthy nerve endings.
坐骨神经和腓总神经是下肢最常受伤的神经，其次是胫神经和股神经。本研究的目的是评估外伤性坐骨神经损伤急性神经移植的功能结果。
共有9例坐骨神经缺损患者接受了一期神经移植治疗。平均年龄为31.7岁。病因包括枪伤、交通事故和穿透伤。
所有患者的坐骨神经缺损范围为3.4至13.6厘米。随访时间为25至84个月。5例患者（55.6%）的胫神经运动功能为“良好”或“非常好”（M3-M4）。其余患者的跖屈功能不足。3例患者（33.3%）的腓总神经运动功能也为“良好”和“非常好”。
损伤后第一周内急性坐骨神经移植的功能结果比相关文献报道的要差。该方案仅应适用于软组织覆盖良好且神经末梢健康的选定患者。
