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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Common peroneal nerve injuries in knee dislocations: results with one-stage nerve repair and tibialis posterior tendon transfer
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Common peroneal nerve injuries in knee dislocations: results with one-stage nerve repair and tibialis posterior tendon transfer

机译：膝关节脱位的腓总神经损伤：一阶段神经修复和胫骨后肌腱转移的结果

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摘要

We report our experience in the treatment of common peroneal nerve (CPN) palsy following knee dislocations: a twelve-year surgical series of 26 patients presenting with a traumatic injury of the lateral sciatic nerve and no spontaneous recovery is reviewed. From 1988 to 1991, we performed nerve surgery alone on 3 patients. Their results were highly disappointing and in none did we observe muscle recovery. Since 1991 nerve surgery was associated with a palliative procedure for 23 patients. Although at surgical exploration, severe nerve damage was found in 87% of these patients (thereby indicating the need for graft repair), the overall outcome was good, with a score of M3 on the BMRC scale in about 75% of the cases. These results suggest that the one-stage association of microsurgical nerve repair and tibialis posterior tendon transfer changed the destiny of these injuries.
机译：我们报告了我们在膝关节脱位后治疗腓总神经麻痹的经验：一项为期十二年的手术系列，共26例患者表现为坐骨神经外侧损伤，无自发恢复。从1988年到1991年，我们仅对3例患者进行了神经外科手术。他们的结果令人非常失望，而且我们都没有观察到肌肉恢复。自1991年以来，神经外科手术与23例患者的姑息治疗相关。尽管在手术探查中，在这些患者中有87％发现了严重的神经损伤（从而表明需要进行移植修复），但总体结果还是不错的，在BMRC量表中约75％的患者得分为M3。这些结果表明，显微外科神经修复和胫骨后肌腱转移的一阶段关联改变了这些损伤的命运。

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