怎么做：选择性股神经切开术

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-03-25 DOI:10.1007/s00701-025-06466-y

Pierre Petitet, Corentin Dauleac, Camilla de Laurentis, Patrick Mertens

{"title":"怎么做：选择性股神经切开术","authors":"Pierre Petitet, Corentin Dauleac, Camilla de Laurentis, Patrick Mertens","doi":"10.1007/s00701-025-06466-y","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Quadriceps spasticity is responsible for a gait disturbance characterized by stiff knee with reduced knee flexion during the swing phase. Selective Femoral Neurotomy induces long-term muscle relaxation via a decrease of the stretch reflex.</p><h3>Method</h3><p>Femoral nerve trunk is dissected just below the femoral crease. Motor branches to the rectus femoris and/or vastus intermedius muscles are identified using electrical stimulation combined with electromyographic recording, then partially sectioned according to an individualized preoperative chart. Postoperative rehabilitation is imperative for sustained gait improvements.</p><h3>Conclusion</h3><p>Selective Femoral Neurotomy (SFN) is a lesion-based, permanent surgical treatment of spastic stiff knee gait.</p></div>","PeriodicalId":7370,"journal":{"name":"Acta Neurochirurgica","volume":"167 1","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00701-025-06466-y.pdf","citationCount":"0","resultStr":"{\"title\":\"How I do it: Selective femoral neurotomy\",\"authors\":\"Pierre Petitet, Corentin Dauleac, Camilla de Laurentis, Patrick Mertens\",\"doi\":\"10.1007/s00701-025-06466-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Quadriceps spasticity is responsible for a gait disturbance characterized by stiff knee with reduced knee flexion during the swing phase. Selective Femoral Neurotomy induces long-term muscle relaxation via a decrease of the stretch reflex.</p><h3>Method</h3><p>Femoral nerve trunk is dissected just below the femoral crease. Motor branches to the rectus femoris and/or vastus intermedius muscles are identified using electrical stimulation combined with electromyographic recording, then partially sectioned according to an individualized preoperative chart. Postoperative rehabilitation is imperative for sustained gait improvements.</p><h3>Conclusion</h3><p>Selective Femoral Neurotomy (SFN) is a lesion-based, permanent surgical treatment of spastic stiff knee gait.</p></div>\",\"PeriodicalId\":7370,\"journal\":{\"name\":\"Acta Neurochirurgica\",\"volume\":\"167 1\",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-03-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://link.springer.com/content/pdf/10.1007/s00701-025-06466-y.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta Neurochirurgica\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://link.springer.com/article/10.1007/s00701-025-06466-y\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Neurochirurgica","FirstCategoryId":"3","ListUrlMain":"https://link.springer.com/article/10.1007/s00701-025-06466-y","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

摘要

背景：股四头肌痉挛是步态障碍的原因，其特征是在摆动阶段膝关节僵硬，膝关节屈曲减少。选择性股神经切开术通过降低牵张反射诱导长期肌肉松弛。方法在股沟下方解剖股神经干。使用电刺激结合肌电图记录识别股直肌和/或股中间肌的运动分支，然后根据个体化术前图表进行部分切片。术后康复是持续改善步态的必要条件。结论选择性股骨神经切开术是一种以病变为基础的永久性手术治疗痉挛性膝僵直步态的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

How I do it: Selective femoral neurotomy

Background

Quadriceps spasticity is responsible for a gait disturbance characterized by stiff knee with reduced knee flexion during the swing phase. Selective Femoral Neurotomy induces long-term muscle relaxation via a decrease of the stretch reflex.

Method

Femoral nerve trunk is dissected just below the femoral crease. Motor branches to the rectus femoris and/or vastus intermedius muscles are identified using electrical stimulation combined with electromyographic recording, then partially sectioned according to an individualized preoperative chart. Postoperative rehabilitation is imperative for sustained gait improvements.

Conclusion

Selective Femoral Neurotomy (SFN) is a lesion-based, permanent surgical treatment of spastic stiff knee gait.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.