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Ohta S, Ikeguchi R, Noguchi T, et al. A Proximally Based Sural Fasciocutaneous Flap for the Treatment of Recurrent Peroneal Neuropathy: A Case Report. Plast Reconstr Surg Glob Open. 2016;4(7):e815doi: 10.1097/GOX.0000000000000825.
Ohta, S., Ikeguchi, R., Noguchi, T., Kaizawa, Y., Oda, H., & Matsuda, S. (2016). A Proximally Based Sural Fasciocutaneous Flap for the Treatment of Recurrent Peroneal Neuropathy: A Case Report. Plastic and reconstructive surgery. Global open, 4(7), e815. https://doi.org/10.1097/GOX.0000000000000825
Ohta, Souichi, et al. "A Proximally Based Sural Fasciocutaneous Flap for the Treatment of Recurrent Peroneal Neuropathy: A Case Report." Plastic and reconstructive surgery. Global open vol. 4,7 (2016): e815. doi: https://doi.org/10.1097/GOX.0000000000000825
Ohta S, Ikeguchi R, Noguchi T, Kaizawa Y, Oda H, Matsuda S. A Proximally Based Sural Fasciocutaneous Flap for the Treatment of Recurrent Peroneal Neuropathy: A Case Report. Plast Reconstr Surg Glob Open. 2016 Jul 21;4(7):e815. doi: 10.1097/GOX.0000000000000825. eCollection 2016 Jul. PMID: 27536494; PMCID: PMC4977143.
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Plast Reconstr Surg Glob Open. 2016 Jul 21;4(7):e815. doi: 10.1097/GOX.0000000000000825. eCollection 2016 Jul.

A Proximally Based Sural Fasciocutaneous Flap for the Treatment of Recurrent Peroneal Neuropathy: A Case Report.

Plastic and reconstructive surgery. Global open

Souichi Ohta, Ryosuke Ikeguchi, Takashi Noguchi, Yukitoshi Kaizawa, Hiroki Oda, Shuichi Matsuda

Affiliations

  1. Department of Orthopaedic Surgery, Kyoto University, Kyoto, Japan; Department of Orthopaedic Surgery, Boston Medical Center, Boston University School of Medicine, Boston, Mass.; and Department of Orthopaedic Surgery, Yawata Central Hospital, Kyoto, Japan.

PMID: 27536494 PMCID: PMC4977143 DOI: 10.1097/GOX.0000000000000825

Abstract

Surgical treatment for recurrent, common peroneal neuropathy has not been reported. Herein, we describe a successfully treated case using the proximally based sural fasciocutaneous flap after reneurolysis of the adhesive common peroneal nerve. A 33-year-old man received a neurolysis operation for entrapment neuropathy of the common peroneal nerve 2 years before first admission in our clinic. Although motor nerve conduction studies showed a marked improvement after the primary operation, the patient always required the use of a crutch because of severe pain radiating to the lower leg during standing or walking. We diagnosed adhesive neuropathy of the common peroneal nerve, and performed reneurolysis by wrapping of the released nerve with a proximally based sural fasciocutaneous flap to prevent readhesion. The radiating pain was significantly reduced at 1-month postoperation. At 1-year postoperation, the patient could walk a long distance without a crutch. Wrapping the released common peroneal nerve with a proximally based sural fasciocutaneous flap is a useful option for the treatment of recurrent, common peroneal neuropathy.

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