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British Journal of Neurosurgery Volume 35, 2021 - Issue 1
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Original Articles

Contralateral obturator nerve transfer for femoral nerve restoration: a case report

Yu Caoa Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China;b Key Laboratory of Hand Reconstruction, Ministry of Health, Shanghai, China;c Shanghai Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai, China
,
Yuehong Lid Ningbo Ninth Hospital, Jiangbei District, Ningbo, Zhejiang Province, China
,
Youlai Zhanga Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China;b Key Laboratory of Hand Reconstruction, Ministry of Health, Shanghai, China;c Shanghai Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai, China
,
Shulin Lia Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China;b Key Laboratory of Hand Reconstruction, Ministry of Health, Shanghai, China;c Shanghai Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai, China
,
Junjian Jianga Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China;b Key Laboratory of Hand Reconstruction, Ministry of Health, Shanghai, China;c Shanghai Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai, China
,
Yudong Gua Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China;b Key Laboratory of Hand Reconstruction, Ministry of Health, Shanghai, China;c Shanghai Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai, China
&
Lei Xua Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China;b Key Laboratory of Hand Reconstruction, Ministry of Health, Shanghai, China;c Shanghai Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai, ChinaCorrespondence[email protected]
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Pages 35-39 | Received 04 Dec 2019, Accepted 27 Mar 2020, Published online: 16 Apr 2020
 
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Abstract

Background

Femoral nerve injury may occur in severe traffic accident injuries with pelvic fracture. Sural nerve grafts or ipsilateral obturator nerve transfer may be used to restore femoral nerve function. We report a new procedure transferring the contralateral obturator nerve to restore femoral nerve function.

Case description

A 30 year-old male suffering complete lumbar plexus rapture received a contralateral obturator nerve transfer in our hospital. At 2 years follow up he had gained Medical Research Council Grade 3 muscle strength in his 23th months follow-up, with normal gait, Lower Extremity Functional Scale score of 58.75% and Femoral Nerve Motor Function Scale score 61%.

Conclusion

The contralateral obturator nerve transfer is a reliable alternative if the nerve graft or ipsilateral obturator nerve cannot be performed.

Disclosure statement

No potential conflict of interest was reported by the author(s).

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