• Journal of neurosurgery · May 2018

    Case Reports

    Delayed compression of the common peroneal nerve following rotational lateral gastrocnemius flap: case report.

    • Benjamin T Himes, Thomas J Wilson, Andres A Maldonado, Naveen S Murthy, and Robert J Spinner.
    • Departments of1Neurological Surgery and.
    • J. Neurosurg. 2018 May 1; 128 (5): 158915921589-1592.

    AbstractThe authors present a case of delayed peroneal neuropathy following a lateral gastrocnemius rotational flap reconstruction. The patient presented 1.5 years after surgery with a new partial foot drop, which progressed over 3 years. At operation, a fascial band on the deep side of the gastrocnemius flap was compressing the common peroneal nerve proximal to the fibular head, correlating with preoperative imaging. Release of this fascial band and selective muscle resection led to immediate improvement in symptoms postoperatively.

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