Treatment of Peroneal Nerve Injury by Operation

Authors: R. Kaiser;  L. Houšťava;  L. Mencl;  R. Brzezný;  P. Haninec
Authors‘ workplace: Neurochirurgická klinika 3. LF UK a FN Královské Vinohrady, Praha
Published in: Cesk Slov Neurol N 2011; 74/107(2): 187-190
Category: Short Communication


The peroneal nerve is the most frequently injured nerve of the lower extremities, most often as traction injury caused by knee distortion or iatrogenic injury. We analyze retrospectively a group of 16 of our patients. Eight of them underwent external neurolysis with functional recovery in 62%. Outcome appears to depend on the time interval between injury and operation. Another eight nerves were reconstructed with a graft from the sural nerve with a good outcome in 50% of cases. In these cases, both the timing of operation and the length of the graft used proved important– the best effect was achieved if graft length was kept below 6  cm, which corresponds with other studies. Recovery of motor function was considered satisfactory when muscle power exceeded level M3 in the standard muscle test.

Key words:
peroneal nerve injury – nerve graft repair – neurolysis


1. Zvěřina E, Stejskal L. Poranění periferních nervů. Praha: Avicenum 1979.

2. Kline D, Hudson AR. Nerve Injuries. Philadelphia: WB Saunders 1995.

3. Prasad AR, Steck JK, Dellon AL. Zone of traction injury of the common peroneal nerve. Ann Plast Surg 2007; 59(3): 302–306.

4. Sunderland S, Bradley KC. Stress-strain phenomena in human peripheral nerve trunks. Brain 1961; 84(1): 102–119.

5. Denny-Brown D, Brenner C. Paralysis of nerve induced by direct pressure and by tourniquet. Arch Neurol Psychiatr 1944; 51: 1–26.

6. Nobel W. Peroneal palsy due to hematoma in the common peroneal nerve sheath after distal torsional fractures and inversion ankle sprains. J Bone Point Surg Am 1966; 48(8): 1484–1495.

7. Visser LH. High-resolution sonography of the common peroneal nerve: detection of intraneural ganglia. Neurology 2006; 67(8): 1473–1475.

8. Kim DH, Kline DG. Management and results of peroneal nerve lesions. Neurosurgery 1996; 39(2): 312–319.

9. Kim DH, Murovic JA, Tiel RL, Kline DG. Management and outcomes in 318 operative common peroneal nerve lesions at the Louisiana State University Health Sciences Center. Neurosurgery 2004; 54(6): 1421–1428.

10. Seidel JA, Koenig R, Antoniadis G, Richter HP, Kretschmer T. Surgical treatment of traumatic peroneal nerve lesions. Neurosurgery 2008; 62(3): 664–673.

11. Matejcik V, Benetin J, Hulin I jr. Our experience with surgical treatment of ischial nerve injurie. Bratisl Lek Listy 2001; 102(10): 462–465.

12. Wood MB. Peroneal nerve repair. Surgical results. Clin Orthop Relat Res 1991; 267: 206–210.

13. Garozzo D, Ferraresi S, Buffatti P. Surgical treatment of common peroneal nerve injuries: indica­tions and results. A series of 62 cases. J Neurosurg Sci 2004; 48(3): 105–112.

14. Nath RK, Lyons AB, Paizi M. Successful management of foot drop by nerve transfers to the deep peroneal nerve. J Reconstr Microsurg 2008; 24(6): 419–427.

15. Pilný J, Čižmář I, Ehler E, Drač P. Transpozice šlachy  m. tibialis posterior – efektivní řešení parézy peroneálních svalů. Cesk Slov Neurol N 2009; 72/105(3): 279–283.

Paediatric neurology Neurosurgery Neurology
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account