Tibial to Peroneal Nerve Transfer for Treatment of Severe Peroneal Palsy

Description

This video details a surgical case conducted by Dr. Duretti Fufa that revolves around a 51-year-old male patient who suffered a traumatic laceration to the common peroneal nerve. It begins with the diagnosis and immediate intervention undertaken, which includes a direct nerve repair. Six months post-surgery, the patient exhibits no signs of recovery, prompting the decision to perform a tibial to peroneal nerve transfer in a supercharged method. The procedure involves meticulous dissection to locate the common peroneal nerve, manage scar tissue, and ensure the branches of the nerve are preserved and identified for repair. The surgical team navigates through various anatomical structures, ensuring no major blood vessels are injured. Throughout the process, the use of neurostimulation is employed to confirm functional aspects of the nerves being manipulated. The video highlights a shift in surgical strategy from a complex nerve graft to a more straightforward direct transfer, under the guidance of previous failures in nerve recovery. After successfully identifying a suitable donor nerve and preparing the recipient site for coaptation, the team emphasizes the importance of nerve health and tension-free repair to optimize recovery outcomes. The procedure concludes with plans for the patient’s postoperative care involving a boot to restrict ankle movement and commence rehabilitation in the upcoming weeks.

Specialties