Pedicle Muscle Flap Coverage as an Adjunct to Internal Neurolysis of the Chronically Scarred Lower Extremity Nerve

Abstract

10 legs in 10 patients with tibial (7) or common peroneal (3) chronic neuritis were treated with microscopic internal Neurolysis and a Hemi local muscle flap. All patients in this series had a positive electrodiagnostic testing, diagnostic nerve block, intractable leg pain and numbness involving the common peroneal and tibial nerve prior to operation. Range of follow up from the procedure was from 13 to 27 months. All legs showed post-operative improvement. NCVs improved by an average of 5.51 m/s and Amplitudes by 7 m/v. VAS scores improved to 2.1/10 postoperatively. Photos were used in an attempt to illustrate the anatomical structure and viable options for neurolysis with a local muscle flap.