Clinical Outcome After Surgical Treatment of Traumatic Peroneal Nerve Injury: An Analysis of Risk Factors After Different Surgical Approaches
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...
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2025-01-01
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| author | Daniel N. Werkmann Ute M. Bäzner Martin Petkov Lena Minzenmay Gregor Durner Gregor Antoniadis Christian R. Wirtz Maria T. Pedro Andreas Knoll Andrej Pala |
| author_facet | Daniel N. Werkmann Ute M. Bäzner Martin Petkov Lena Minzenmay Gregor Durner Gregor Antoniadis Christian R. Wirtz Maria T. Pedro Andreas Knoll Andrej Pala |
| author_sort | Daniel N. Werkmann |
| collection | DOAJ |
| description | 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 (<i>p</i> = 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. |
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| institution | Kabale University |
| issn | 2035-8377 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
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| series | Neurology International |
| spelling | doaj-art-39a3010b42564b0fb849d253df04bccf2025-01-24T13:44:23ZengMDPI AGNeurology International2035-83772025-01-01171710.3390/neurolint17010007Clinical Outcome After Surgical Treatment of Traumatic Peroneal Nerve Injury: An Analysis of Risk Factors After Different Surgical ApproachesDaniel N. Werkmann0Ute M. Bäzner1Martin Petkov2Lena Minzenmay3Gregor Durner4Gregor Antoniadis5Christian R. Wirtz6Maria T. Pedro7Andreas Knoll8Andrej Pala9Department of Neurosurgery, University of Ulm, BKH Günzburg, Lindenallee 2, 89312 Günzburg, GermanyDepartment of Neurosurgery, University of Ulm, BKH Günzburg, Lindenallee 2, 89312 Günzburg, GermanyDepartment of Neurosurgery, University of Ulm, BKH Günzburg, Lindenallee 2, 89312 Günzburg, GermanyDepartment of Neurosurgery, University of Ulm, BKH Günzburg, Lindenallee 2, 89312 Günzburg, GermanyDepartment of Neurosurgery, University of Ulm, BKH Günzburg, Lindenallee 2, 89312 Günzburg, GermanyPeripheral Nerve Unit, Department of Neurosurgery, BKH Günzburg at Ulm University, Lindenallee 2, 89312 Günzburg, GermanyDepartment of Neurosurgery, University of Ulm, BKH Günzburg, Lindenallee 2, 89312 Günzburg, GermanyPeripheral Nerve Unit, Department of Neurosurgery, BKH Günzburg at Ulm University, Lindenallee 2, 89312 Günzburg, GermanyDepartment of Neurosurgery, University of Ulm, BKH Günzburg, Lindenallee 2, 89312 Günzburg, GermanyDepartment of Neurosurgery, University of Ulm, BKH Günzburg, Lindenallee 2, 89312 Günzburg, GermanyBackground: 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 (<i>p</i> = 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.https://www.mdpi.com/2035-8377/17/1/7traumatic nerve lesionperoneal nervenerve graftperipheral nerve |
| spellingShingle | Daniel N. Werkmann Ute M. Bäzner Martin Petkov Lena Minzenmay Gregor Durner Gregor Antoniadis Christian R. Wirtz Maria T. Pedro Andreas Knoll Andrej Pala Clinical Outcome After Surgical Treatment of Traumatic Peroneal Nerve Injury: An Analysis of Risk Factors After Different Surgical Approaches Neurology International traumatic nerve lesion peroneal nerve nerve graft peripheral nerve |
| title | Clinical Outcome After Surgical Treatment of Traumatic Peroneal Nerve Injury: An Analysis of Risk Factors After Different Surgical Approaches |
| title_full | Clinical Outcome After Surgical Treatment of Traumatic Peroneal Nerve Injury: An Analysis of Risk Factors After Different Surgical Approaches |
| title_fullStr | Clinical Outcome After Surgical Treatment of Traumatic Peroneal Nerve Injury: An Analysis of Risk Factors After Different Surgical Approaches |
| title_full_unstemmed | Clinical Outcome After Surgical Treatment of Traumatic Peroneal Nerve Injury: An Analysis of Risk Factors After Different Surgical Approaches |
| title_short | Clinical Outcome After Surgical Treatment of Traumatic Peroneal Nerve Injury: An Analysis of Risk Factors After Different Surgical Approaches |
| title_sort | clinical outcome after surgical treatment of traumatic peroneal nerve injury an analysis of risk factors after different surgical approaches |
| topic | traumatic nerve lesion peroneal nerve nerve graft peripheral nerve |
| url | https://www.mdpi.com/2035-8377/17/1/7 |
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