Delayed Presentation of Sciatic Nerve Injury with Gap: A Case Report with a Unique Solution from the Past

Ashwath M. Acharya; Anil K. Bhat; Gayathri Jyothish; Aditya Mukadam

doi:10.2106/JBJS.CC.21.00192

Delayed Presentation of Sciatic Nerve Injury with Gap: A Case Report with a Unique Solution from the Past

Ashwath M. Acharya, Anil K. Bhat, Gayathri Jyothish, Aditya Mukadam

Research output: Contribution to journal › Article › peer-review

Abstract

CASE: A 35-year-old farmer presented with a foot ulcer on his left flail foot because of a sciatic nerve injury of 1-year duration. A gap of 11 cm was observed in the sciatic nerve for which he underwent 2-staged pedicled peroneal nerve grafting and posterior bone block procedure for the ankle. He had S3 grade sensation at 5-year follow-up without any recurrence of ulcer and a stable foot without external support for walking. CONCLUSION: Staged pedicled peroneal nerve grafting with a posterior bone block procedure is a viable solution for very large sciatic nerve defect with predictable results.

Original language	English
Article number	A24
Journal	JBJS Case Connector
Volume	12
Issue number	1
DOIs	https://doi.org/10.2106/JBJS.CC.21.00192
Publication status	Published - 16-02-2022

All Science Journal Classification (ASJC) codes

Medicine(all)

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10.2106/JBJS.CC.21.00192

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title = "Delayed Presentation of Sciatic Nerve Injury with Gap: A Case Report with a Unique Solution from the Past",

abstract = "CASE: A 35-year-old farmer presented with a foot ulcer on his left flail foot because of a sciatic nerve injury of 1-year duration. A gap of 11 cm was observed in the sciatic nerve for which he underwent 2-staged pedicled peroneal nerve grafting and posterior bone block procedure for the ankle. He had S3 grade sensation at 5-year follow-up without any recurrence of ulcer and a stable foot without external support for walking. CONCLUSION: Staged pedicled peroneal nerve grafting with a posterior bone block procedure is a viable solution for very large sciatic nerve defect with predictable results.",

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AU - Bhat, Anil K.

AU - Jyothish, Gayathri

AU - Mukadam, Aditya

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N2 - CASE: A 35-year-old farmer presented with a foot ulcer on his left flail foot because of a sciatic nerve injury of 1-year duration. A gap of 11 cm was observed in the sciatic nerve for which he underwent 2-staged pedicled peroneal nerve grafting and posterior bone block procedure for the ankle. He had S3 grade sensation at 5-year follow-up without any recurrence of ulcer and a stable foot without external support for walking. CONCLUSION: Staged pedicled peroneal nerve grafting with a posterior bone block procedure is a viable solution for very large sciatic nerve defect with predictable results.

AB - CASE: A 35-year-old farmer presented with a foot ulcer on his left flail foot because of a sciatic nerve injury of 1-year duration. A gap of 11 cm was observed in the sciatic nerve for which he underwent 2-staged pedicled peroneal nerve grafting and posterior bone block procedure for the ankle. He had S3 grade sensation at 5-year follow-up without any recurrence of ulcer and a stable foot without external support for walking. CONCLUSION: Staged pedicled peroneal nerve grafting with a posterior bone block procedure is a viable solution for very large sciatic nerve defect with predictable results.

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Delayed Presentation of Sciatic Nerve Injury with Gap: A Case Report with a Unique Solution from the Past

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