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Treatment of skin and median nerve defects with peroneal neurofasciocutaneous flap
Author(s) -
Fukui Akihiro,
Inada Yǔji,
Tamai Susumu,
Mizumoto Shigeru
Publication year - 1989
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.1920100202
Subject(s) - medicine , thumb , sural nerve , anatomy , superficial peroneal nerve , index finger , surgery , forearm , cutaneous nerve , numerical digit , crush injury , median nerve , ulnar nerve , elbow , mathematics , arithmetic , ankle
Abstract A large neurofasciocutaneous flap that consisted of a peroneal flap and a segment of sural nerve was used in the simultaneous reconstruction of a large soft tissue and nerve defect caused by a crushing injury of the distal forearm. A 10×15 cm peroneal flap, including a 10 cm segment of sural nerve, was successfully transferred to an 8×12 cm skin defect, reconstructing a 5 cm defect of the median nerve. Two years after repair, the opponens pollicis muscle showed good contraction, although palmar abduction of the thumb remained poor. Static two‐point discrimination was 20 mm on the pulp surface of both thumb and index finger and 15 mm on the middle finger.