ABSTRACT
To date, more than 150 surgical techniques have been described for the treatment of intractable nerve pain. However, owing to their technical complexity, as well as the lack of comparative studies in the literature, there is currently no consensus on the appropriate management of this often debilitating condition. Therefore, we present our surgical algorithm, based on Seddon's classification to differentiate the degree of nerve injury, and subsequent treatment course for the management of lower extremity neurogenic pain.
Subject(s)
Lower Extremity/surgery , Neuralgia/surgery , Peripheral Nerve Injuries/surgery , Algorithms , Denervation , Electromyography , Humans , Lower Extremity/innervation , Nerve Transfer , Neuralgia/etiology , Neurologic Examination , Neuroma/surgery , Pain Management , Peripheral Nerve Injuries/classification , Peripheral Nervous System Neoplasms/surgery , Postoperative CareABSTRACT
Respecting vascular territories is crucial for flap design and viability. There are 6 angiosomes in the foot and ankle originating from the posterior tibial, anterior tibial, and peroneal arteries. Reliable perforators from the 3 major source vessels of the lower extremity are found in 5-cm intervals within intermuscular septa. Computed tomography angiography, Doppler, and infrared cameras can be used preoperatively to help identify the perforators of the lower extremity.
