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确定伴有膝关节脱位的腓总神经损伤的真实部位:早期更容易。

Determining the real site of peroneal nerve injury with knee dislocation: Earlierier is easier.

机构信息

Plastic Surgery, Leeds Teaching Hospitals NHS Trust, Great George Street, Leeds, West Yorkshire LS1 3EX, United Kingdom.

Plastic Surgery, Leeds Teaching Hospitals NHS Trust, Great George Street, Leeds, West Yorkshire LS1 3EX, United Kingdom.

出版信息

J Plast Reconstr Aesthet Surg. 2021 Oct;74(10):2776-2820. doi: 10.1016/j.bjps.2021.05.063. Epub 2021 Jun 17.

DOI:10.1016/j.bjps.2021.05.063
PMID:34229957
Abstract

Common peroneal nerve (CPN) injury is a recognised complication of traumatic knee dislocation with a direct association between the degree of ligamentous injury and the degree of CPN injury. It is essential explore and repair these injuries in good time to reduce morbidity. Often exploration only involves the portion of this nerve associated with the joint as it courses around the fibular head. However, a recent case highlighted the importance of proximal exploration to its branching point from the sciatic nerve, a known point of fragility, even if other defects have been identified.

摘要

腓总神经(CPN)损伤是创伤性膝关节脱位的一种公认并发症,与韧带损伤的程度直接相关,与 CPN 损伤的程度也直接相关。及时探查和修复这些损伤至关重要,以降低发病率。通常,探查仅涉及该神经在腓骨头周围走行时与关节相关的部分。然而,最近的一个病例强调了从坐骨神经分支点近端探查的重要性,即使已经确定了其他缺陷,该分支点也是已知的脆弱点。

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