Krishnamurthy Sridhar, Ibrahim Mohamed
Institute for Craniofacial Aesthetic and Plastic Surgery, SRM Institute for Medical Sciences, Chennai, Tamil Nadu, India.
Indian J Plast Surg. 2019 Jan;52(1):100-108. doi: 10.1055/s-0039-1688105. Epub 2019 May 24.
The common peroneal nerve is the most commonly injured nerve in the lower extremity. Peroneal nerve pathology results in loss of dorsiflexion at the tibiotalar joint, loss of eversion at the subtalar joint, and loss of extension of toes resulting in foot drop. The varied etiology of the problem is discussed. The various treatment modalities like conservative management, steroid therapy, nerve decompression, nerve repair, or reconstruction are described, but due to uncertain outcomes after primary nerve procedures, secondary procedures like tendon transfers often end up as definitive treatment. The rationale and technique of tibialis posterior transfer is discussed in detail.
腓总神经是下肢最常受伤的神经。腓总神经病变会导致胫距关节背屈功能丧失、距下关节外翻功能丧失以及脚趾伸展功能丧失，从而导致足下垂。文中讨论了该问题的多种病因。描述了各种治疗方式，如保守治疗、类固醇治疗、神经减压、神经修复或重建，但由于初次神经手术的结果不确定，肌腱转移等二次手术往往最终成为确定性治疗方法。详细讨论了胫后肌腱转移的原理和技术。
