Academic Journal
Clinical Outcome After Surgical Treatment of Traumatic Peroneal Nerve Injury: An Analysis of Risk Factors After Different Surgical Approaches
| Title: | Clinical Outcome After Surgical Treatment of Traumatic Peroneal Nerve Injury: An Analysis of Risk Factors After Different Surgical Approaches |
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| Authors: | Daniel N. Werkmann, Ute M. Bäzner, Martin Petkov, Lena Minzenmay, Gregor Durner, Gregor Antoniadis, Christian R. Wirtz, Maria T. Pedro, Andreas Knoll, Andrej Pala |
| Source: | Neurology International, Vol 17, Iss 1, p 7 (2025) |
| Publisher Information: | MDPI AG, 2025. |
| Publication Year: | 2025 |
| Collection: | LCC:Medicine LCC:Internal medicine LCC:Neurosciences. Biological psychiatry. Neuropsychiatry |
| Subject Terms: | traumatic nerve lesion, peroneal nerve, nerve graft, peripheral nerve, Medicine, Internal medicine, RC31-1245, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571 |
| More Details: | Background: This study aims to analyze potential risk factors that may influence the clinical outcomes following surgical treatment of traumatic peroneal nerve lesions. Methods: We conducted a retrospective analysis of patients with traumatic peroneal nerve injuries treated with decompression, split repair, or nerve grafting between 2010 and 2020. Motor function and potential risk factors were evaluated. Results: Out of 93 patients, 42 (45%) underwent decompression, 15 (16%) received split repair, and 36 (39%) required autologous nerve grafting. Up to one year after surgery, weakness of the anterior tibial muscle improved from a median of M0 to M3. After one year following nerve decompression, functional recovery was observed in 28 (65%) cases, in 9 (21%) cases after split repair, and in 7 (16%) cases following autologous nerve grafting. A defect greater than 8 cm was associated with significantly poorer improvement of extensor hallucis longus (p = 0.037, HR 0.109). We found no significant associations between age, diabetes mellitus, arterial hypertension, obesity, and postoperative outcomes. Conclusions: According to the present data, a significant number of patients achieved functional improvement following surgical treatment, indicating that this procedure should be considered an important treatment option in selected cases. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2035-8377 |
| Relation: | https://www.mdpi.com/2035-8377/17/1/7; https://doaj.org/toc/2035-8377 |
| DOI: | 10.3390/neurolint17010007 |
| Access URL: | https://doaj.org/article/39a3010b42564b0fb849d253df04bccf |
| Accession Number: | edsdoj.39a3010b42564b0fb849d253df04bccf |
| Database: | Directory of Open Access Journals |
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| ISSN: | 20358377 |
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| DOI: | 10.3390/neurolint17010007 |
| Published in: | Neurology International |
| Language: | English |