Naveed A Khan, Ijaz Shah, Abrar-ul Hassan Pirzada.
Outcome of Primary Repair and Nerve grafting in Peroneal Nerve Injury.
J Sharif Med Dent Coll Jan ;1(2):92-5.

Objective: The purpose of this study was to retrospectively evaluate the clinical and functional results of nerve grafting and end-to-end peroneal nerve repair between sciatic bifurcation and distal branching. Methodology: The study was performed at Sheikh Zayed Hospital Lahore, included 26 patients (22 men, 4 women; mean age: 19.9 years; range: 5 to 46 years) who underwent peroneal nerve repair between 2004 and 2014. Open nerve injuries were seen in 21 patients and closed injuries in 5 patients. Surgical repair was performed with sural nerve grafting in 19 patients and end-to-end in 7 patients. Mean nerve graft length was 5.42 (range: 2 to 15) cm with a mean 3.1 (range: 2 to 4cm) nerve cables used. Mean follow-up was 33 (range: 13 to 96) months. The British Medical Research Council scale was used for the evaluation of the tibialis anterior and peroneal muscles and Semmes-Weinstein monofilaments were used for protective sensation-evaluation. Results: Adequate and full recovery were observed in 19 patients (73%). Mean follow-up time was 39.3 months in patients undergoing nerve grafting and 30.1 months in end-to-end nerve repair. Fifteen of 19 patients with nerve grafting and 4 of 7 patients with end-to-end nerve repair had an adequate or full recovery. Posterior tibial tendon transfer to dorsal foot was done in 3 of 7 patients without recovery. Protective sensory recovery was determined in 16 of 22 patients. Conclusion: Good results in both end-to-end repair and in repair with grafting is possible in peroneal nerve repair. Keywords: Nerve grafting. Peroneal nerve injury. Epineural repair.

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