健侧闭孔神经移位修复股神经：一例报告。
Contralateral obturator nerve transfer for femoral nerve restoration: a case report.
机构信息
Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Key Laboratory of Hand Reconstruction, Ministry of Health, Shanghai, China.
出版信息
Br J Neurosurg. 2021 Feb;35(1):35-39. doi: 10.1080/02688697.2020.1749983. Epub 2020 Apr 16.
BACKGROUND
Femoral nerve injury may occur in severe traffic accident injuries with pelvic fracture. Sural nerve grafts or ipsilateral obturator nerve transfer may be used to restore femoral nerve function. We report a new procedure transferring the contralateral obturator nerve to restore femoral nerve function.
CASE DESCRIPTION
A 30 year-old male suffering complete lumbar plexus rapture received a contralateral obturator nerve transfer in our hospital. At 2 years follow up he had gained Medical Research Council Grade 3 muscle strength in his 23th months follow-up, with normal gait, Lower Extremity Functional Scale score of 58.75% and Femoral Nerve Motor Function Scale score 61%.
CONCLUSION
The contralateral obturator nerve transfer is a reliable alternative if the nerve graft or ipsilateral obturator nerve cannot be performed.
背景
股神经损伤可能发生在骨盆骨折的严重交通事故损伤中。可以使用腓肠神经移植或同侧闭孔神经转移来恢复股神经功能。我们报告一种新的手术方法，即转移对侧闭孔神经以恢复股神经功能。
病例描述
一名 30 岁男性因严重的腰椎丛撕裂伤在我院接受了对侧闭孔神经转移术。在 2 年的随访中，他在 23 个月的随访中获得了医疗研究委员会 3 级肌力，步态正常，下肢功能评分（Lower Extremity Functional Scale）为 58.75%，股神经运动功能评分（Femoral Nerve Motor Function Scale）为 61%。
结论
如果不能进行神经移植或同侧闭孔神经转移，对侧闭孔神经转移是一种可靠的选择。
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