Treatment of skin and median nerve defects with peroneal neurofasciocutaneous flap

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.