Monday, June 12, 2017

Common Peroneal Nerve Exploration Repair With Nerve graft


Common Peroneal Nerve Exploration Repair With Nerve graft




Cut end of CPN


Nerve grafts



nerve graft is a surgical technique in which a segment of unrelated nerve is used to replace or bridge an injured portion of nerve. The donor nerve serves as a “track” along which axons (appendages of neurons, which transmit impulses from the spinal cord to the muscle) can grow down to the target area.



Nerve graft



Harvesting Sural Nerve Graft



Mid line incision is made along the lateral malleous and TA upto the middle of the gastrocnemius muscle, into the popliteal fossa...

Saphenous vein is encountered and its kept away from the sural nerve. 20 cm long graft can be taken. 





After excision of neuroma

Neuroma



Neuromas may form after any nerve injury. Nerve injury can occur 
through sharp trauma, blunt trauma, or traction injury. In injuries where the nerve is partially injured, a neuroma-in-continuity forms. Neuromas result from the abnormal regeneration of sprouting axons. 


Neuroma

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