Current Concepts in Lower Extremity Amputation: A Primer for Plastic Surgeons | Journal CME Article-Journal CME Article: Current Concepts in Lower Extremity Amputation: A Primer for Plastic Surgeons v3 of 5

Journal CME Article: Current Concepts in Lower Extremity Amputation: A Primer for Plastic Surgeons v3 of 5

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The procedure involves addressing a significant neuroma on the common peroneal nerve. After resecting the neuroma to expose healthy nerve fascicles, a muscle flap technique, developed by Ian Valerio and Kyle Eberlin, is employed to counteract size mismatches in nerve coaptation. The recipient nerve to the gastroc is divided and sutured using a centralizing stitch with 8-0 proline for precise placement within the larger common peroneal nerve. Due to size mismatch, epineural-to-epimuseal reinforcing sutures are used, leveraging a denervated muscle flap for better axon targeting into the gastroc muscle.

Keywords

neuroma

nerve coaptation

muscle flap technique

common peroneal nerve

axon targeting