Low to moderate risk of nerve damage during peroneus longus tendon autograft harvest
- 08.09.2021
- KNEE
Erschienen in:
- Verfasst von
- Jinshen He
- Kevin Byrne
- Hiroko Ueki
- Ryo Kanto
- Monica A. Linde
- Patrick Smolinski
- Song Wu
- Freddie Fu
- Erschienen in
- Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 1/2022
Abstract
Purpose
This study aims to evaluate the proximity of the tendon stripper to both the peroneal and sural nerves during peroneus longus tendon (PLT) autograft harvesting.
Methods
Ten fresh–frozen human cadaveric lower extremities were used to harvest a full-thickness PLT autograft using a standard closed blunt-ended tendon stripper. The distance to the sural nerve from the PLT (at 0, 1, 2 and 3 cm proximal to lateral malleolus (LM), and the distance to the peroneal nerve and its branches from the end of the tendon stripper were measured by two separate observers using ImageJ software.
Results
The average distance from the PLT to the sural nerve increased significantly from 0 to 2 cm proximal to LM. The average distance to the sural nerve at the LM was 4.9 ± 1.5 mm and increased to 10.8 ± 2.4 mm (2 cm proximal to LM). The average distance from the tendon stripper to the deep peroneal nerve was 52.9 ± 11.4 mm. The average distance to the PLT branch of peroneal nerve was 29.3 ± 4.2 mm. The superficial peroneal nerve, which coursed parallel and deep to the tendon stripper, was on average 5.2 ± 0.7 mm from the end of the stripper. No transection injuries of the nerves were observed in any of the ten legs after harvesting.
Conclusion
This cadaver study found during a full-thickness PLT harvest, the distances between the tendon stripper and the nerves were greater than 5 mm with an initial incision at 2 cm proximal to LM which is recommended.
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- Titel
- Low to moderate risk of nerve damage during peroneus longus tendon autograft harvest
- Verfasst von
-
Jinshen He
Kevin Byrne
Hiroko Ueki
Ryo Kanto
Monica A. Linde
Patrick Smolinski
Song Wu
Freddie Fu
- Publikationsdatum
- 08.09.2021
- Verlag
- Springer Berlin Heidelberg
- Erschienen in
-
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 1/2022
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347 - DOI
- https://doi.org/10.1007/s00167-021-06698-2
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