《Chinese Journal of Rehabilitation Theory and Practice》

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Effects of Lateral Gastrocnemius Muscle Branch Nerve Transferring on Deep Peroneal Nerve Impairment in Rats

LI Jun1,2, LIU Chang- bin1,2, DONG Xue- chao1, GUO Yun1,2, TANG Li1,2, DU Liang- jie1,2, GAO Feng1,2, LIU Hong-wei1,2, YANG De-gang1,2, WANG Chong1,2, LI Jian-jun1,2   

  1. 1. Department of Spinal and Neural Functional Reconstruction, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China; 2. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
  • Published:2016-07-25 Online:2016-09-22

Abstract: Objective To explore the feasibility and effectiveness of lateral gastrocnemius muscle branch nerve transferring for deep peroneal nerve injury. Methods Thirty-two adult female Sprague-Dawley rats were divided into control group (n=8), sham group (n=8), nerve direct repairing group (n=8) and nerve transferring group (n=8). Twelve weeks after the anastomosis, the nerve anastomosis was observed visually, the length of lateral of gastrocnemius muscle branch (L1), the diameter at the point of entering muscle (D1), the maximum detachable length of nervus peroneus communis (L2), the diameter of deep peroneal nerve (D2) and the distance between branch point and neck of fibula (S) were measured. The peroneal nerve functional index (PFI), the amplitude of compound muscle action potential (CMAP), nerve conduction velocity (NCV), the weight of the tibialis anterior and the creatine kinase (CK) activity of theanterior tibial were compared among groups. Results L10.05). Conclusion It is feasible that lateral head muscular branches of gastrocnemius nerve transferring can repair deep peroneal nerve injury, which is needed to separate superficial peroneal nerve and deep peroneal nerve in the epineurium without damaging nerve for tension free neuroanastomosis. Lateral head muscular branches of gastrocnemius nerve transferring can repair the function after deep peroneal nerve injury.

Key words: deep peroneal nerve injury, tibial nerve muscular branches, nerve transfer, repair, rats