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1.
Foot Ankle Surg ; 29(4): 346-349, 2023 Jun.
Article in English | MEDLINE | ID: mdl-37095035

ABSTRACT

PURPOSE: We want to evaluate the feasibility of transferring a motor branch of the anterior tibial muscle (ATM) to the extensor digitorum longus (EDL) to evaluate this procedure in patients with spastic equinovarus foot (EVF) following post-stroke hemiplegia. METHODS: Ten cadaveric dissections from five fresh frozen human cadavers were performed to establish the anatomic feasibility of transferring a motor branch of the deep peroneal nerve, usually destinated to the ATM, to the branch of the EDL to manage spastic EVF. RESULTS: Six cases (60%) presented three branches destinated to the ATM, one case (10%) presented give branches, and three cases (30%) had four branches. In all specimens, the coaptation between the motor branch to the ATM, referred as the "effector" branch, and the branch of the EDL "receiver" branch was feasible without tension and did not require any intraneural dissection. CONCLUSION: This anatomical study confirms the feasibility of transferring a motor branch from the ATM to the EDL to correct a spastic EVF.


Subject(s)
Clubfoot , Nerve Transfer , Humans , Clubfoot/surgery , Muscle Spasticity/etiology , Muscle Spasticity/surgery , Feasibility Studies , Muscle, Skeletal
2.
Mil Med Res ; 9(1): 48, 2022 09 02.
Article in English | MEDLINE | ID: mdl-36050805

ABSTRACT

Because of its simplicity, reliability, and replicability, the Masquelet induced membrane technique (IMT) has become one of the preferred methods for critical bone defect reconstruction in extremities. Although it is now used worldwide, few studies have been published about IMT in military practice. Bone reconstruction is particularly challenging in this context of care due to extensive soft-tissue injury, early wound infection, and even delayed management in austere conditions. Based on our clinical expertise, recent research, and a literature analysis, this narrative review provides an overview of the IMT application to combat-related bone defects. It presents technical specificities and future developments aiming to optimize IMT outcomes, including for the management of massive multi-tissue defects or bone reconstruction performed in the field with limited resources.


Subject(s)
Military Personnel , Plastic Surgery Procedures , Soft Tissue Injuries , Wound Infection , Humans , Plastic Surgery Procedures/methods , Reproducibility of Results , Soft Tissue Injuries/surgery
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