Anatomic bases of surgical approaches to the nerves of the lower limb: tips for young surgeons

For trainee surgeons, the surgical approaches of the lower limb's peripheral nerves remain partially or completely unknown, but traumatic nerve lesions are rather frequent at this level and nerve tumors require intervention. Young surgeons will also have to treat spasticity and perform selectiv...

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Bibliographic Details
Published in:Neuro-chirurgie 2009-10, Vol.55 (4-5), p.375-383
Main Authors: Rigoard, P, Buffenoir-Billet, K, Giot, J-P, d'Houtaud, S, Delmotte, A, Lapierre, F
Format: Article
Language:fre
Subjects:
Femoral Nerve - anatomy & histology
Femoral Nerve - surgery
Humans
Lower Extremity - innervation
Lower Extremity - surgery
Neurosurgical Procedures
Peroneal Nerve - anatomy & histology
Peroneal Nerve - surgery
Sciatic Nerve - anatomy & histology
Sciatic Nerve - surgery
Tibial Nerve - anatomy & histology
Tibial Nerve - surgery
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Summary:For trainee surgeons, the surgical approaches of the lower limb's peripheral nerves remain partially or completely unknown, but traumatic nerve lesions are rather frequent at this level and nerve tumors require intervention. Young surgeons will also have to treat spasticity and perform selective neurotomies, which can provide dramatic improvement of the functional status of properly selected patients. Excellent knowledge of anatomy is the key point to successful surgery. For each nerve approach, the key points on the morphological data of the nerve and its surroundings are given, as are the typical indications for this surgery and certain particularities related to patient installation in the operating room. The surgical approach section details the incision, the nerve exposure and the technical pitfalls.
ISSN:0028-3770
DOI:10.1016/j.neuchi.2009.08.154