Transfer of the anterior branch of the obturator nerve for femoral nerve reconstruction and preservation of motor function: A case report

International Journal of Surgery Case Reports
Marco RastrelliVincenzo Vindigni

Abstract

Femoral nerve lesions are uncommon but severely disrupting at the functional level, because of the inability to walk, run, and passing from sitting to standing position. Reconstruction via local nerve transfer (neurotization) is a relatively new yet promising procedure. We describe a case of successful restoration of rectus femoris' function after a malignant process by transfer of the anterior branch of the obturator nerve at the thigh level. At present, only few similar reports are present in the literature. Nerve gap after surgery was considerable (10 cm) and nerve grafting could have been unsatisfactory in terms of reinnervation. Therefore, reconstruction was managed with nerve isolation and transfer to the rectus femoris motor branch. The functional result was satisfactory at 1-year follow up with margins for further improvement. This case reported favorable outcomes of neurotization of the anterior branch of the obturator nerve for femoral nerve lesion. Reports of success with this procedure are still limited, but the promising results in terms of functional recovery suggest it should be offered to patients as a viable therapeutic option. Advantages of neurotization compared to grafts are several, including: limiting sutu...Continue Reading

Citations

Dec 23, 2020·The International Journal of Neuroscience·Mohammadreza EmamhadiMohammad Shabani
Apr 21, 2021·Morphologie : Bulletin De L'Association Des Anatomistes·S B Nayak, S K Vasudeva
Jun 22, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Elspeth J R HIllThomas H Tung

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