Maral T, Tuncali D, Ozgür F, Safak T, Gürsu K G
Department of Plastic and Reconstructive Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Plast Reconstr Surg. 1997 Jul;100(1):91-5. doi: 10.1097/00006534-199707000-00016.
The presence of a short sciatic nerve in the free edge of a popliteal pterygium makes this syndrome a surgical challenge. We present a case of popliteal pterygium that was treated by nerve expansion. The range of motion of the patient's knee joint was between 30 and 120 degrees. A 75-cc tissue expander was placed under the sciatic nerve and filled with 5 cc of saline solution weekly. When a total of 60 cc was reached, wound dehiscence was observed, and the procedure had to be stopped. The maximum extension obtained was 160 degrees. Since the expansion process had to be stopped early, the elongation attained by expansion was less than expected. We conclude that the nerve expansion method can be used as a good alternative treatment modality for patients with popliteal pterygium.
腘窝翼状胬肉游离缘存在短坐骨神经，使得该综合征成为一项手术挑战。我们报告1例采用神经扩张术治疗的腘窝翼状胬肉病例。该患者膝关节活动范围为30度至120度。在坐骨神经下方放置一个75毫升的组织扩张器，每周注入5毫升生理盐水。当总共注入60毫升时，观察到伤口裂开，手术不得不停止。获得的最大伸展角度为160度。由于扩张过程不得不提前停止，通过扩张实现的伸长小于预期。我们得出结论，神经扩张术可作为腘窝翼状胬肉患者一种良好的替代治疗方式。
