The Effect of Peripheral Neurolysis in Diabetic Feet / 대한족부족관절학회지
Journal of Korean Foot and Ankle Society
; : 52-57, 2004.
Article
in Ko
| WPRIM
| ID: wpr-222212
Responsible library:
WPRO
ABSTRACT
PURPOSE: We evaluated the effect of nerve decompression for restoration of plantar sweating and sensation in diabetic neuropathic feet, and we selected diabetic neuropathic patients with the possibility of overlying entrapmental neuropathy. MATERIALS AND METHODS: From June 2002 to May 2003, we have investigated and follow-up examed 10 patients with diabetic neuropathic feet, with decreased sensation in their lower limb, who underwent peripheral nerve decompression. The surgical procedure was multiple neurolysis of the common peroneal nerve, posterior tibial nerve and its three branches of one limb. We compared the operated limb with the opposite, unoperated limb. We performed history taking, physical examination, sweat secretion test, touch sensory test using Semmes-Weinstein monofilaments and electrodiagnostic study, pre-operatively and post-operatively. RESULTS: On 6 months after the operation, the post-operative tests showed that there were noticeable improvements to sensation, statistically (P<0.05), but there was no change in the sweat secretion test. According to the Cseuz criteria, 7 patients out of the 10 patients who received the multiple neurolysis showed excellent or good results. CONCLUSION: We observed that the peripheral nerve neurolysis could be benefit for improving sensation and alleviating pain of the diabetic neuropathic feet with nerve entrapmental symptoms, but there was no change in the sweat secretion on short-term follow-up. To identify whether the effect will be continued or not, additional follow-up will be required.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Peripheral Nerves
/
Peroneal Nerve
/
Physical Examination
/
Sensation
/
Sweat
/
Sweating
/
Tibial Nerve
/
Follow-Up Studies
/
Diabetic Foot
/
Lower Extremity
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Humans
Language:
Ko
Journal:
Journal of Korean Foot and Ankle Society
Year:
2004
Type:
Article