痉挛性马蹄内翻足的神经转移：解剖学可行性研究。
Nerve transfer in the spastic equino varus foot: Anatomical feasibility study.
机构信息
Clinic of Orthopedics, Traumatology and Reconstructive Surgery, Percy Military Teaching Hospital, Clamart 92140, France.
Clinic of Orthopedics, Traumatology and Reconstructive Surgery, Percy Military Teaching Hospital, Clamart 92140, France; French Military Health Service Academy, Ecole du Val-de-Grâce, Paris 75005, France.
出版信息
Foot Ankle Surg. 2023 Jun;29(4):346-349. doi: 10.1016/j.fas.2023.04.001. Epub 2023 Apr 5.
PURPOSE
We want to evaluate the feasibility of transferring a motor branch of the anterior tibial muscle (ATM) to the extensor digitorum longus (EDL) to evaluate this procedure in patients with spastic equinovarus foot (EVF) following post-stroke hemiplegia.
METHODS
Ten cadaveric dissections from five fresh frozen human cadavers were performed to establish the anatomic feasibility of transferring a motor branch of the deep peroneal nerve, usually destinated to the ATM, to the branch of the EDL to manage spastic EVF.
RESULTS
Six cases (60%) presented three branches destinated to the ATM, one case (10%) presented give branches, and three cases (30%) had four branches. In all specimens, the coaptation between the motor branch to the ATM, referred as the "effector" branch, and the branch of the EDL "receiver" branch was feasible without tension and did not require any intraneural dissection.
CONCLUSION
This anatomical study confirms the feasibility of transferring a motor branch from the ATM to the EDL to correct a spastic EVF.
目的
我们旨在评估将胫骨前肌（ATM）的运动支转移至趾长伸肌（EDL）的可行性，以评估该方法在脑卒中后偏瘫患者痉挛性马蹄内翻足（EVF）中的应用。
方法
对 5 具新鲜冷冻人尸体进行了 10 例解剖，以确定将发自腓深神经的运动支（通常支配 ATM）转移至 EDL 的分支来治疗痉挛性 EVF 的解剖学可行性。
结果
6 例（60%）标本有 3 个分支支配 ATM，1 例（10%）有 5 个分支，3 例（30%）有 4 个分支。在所有标本中，将运动支至 ATM（称为“效应器”分支）与 EDL 的分支（称为“受体”分支）进行吻合，无张力且无需进行任何神经内解剖。
结论
这项解剖学研究证实了将 ATM 的运动支转移至 EDL 以矫正痉挛性 EVF 的可行性。
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