Contralateral Obturator to Femoral Nerve Branch Transfer for Multilevel Lumbosacral Plexus Avulsion Injury

Contralateral Obturator to Femoral Nerve Branch Transfer for Multilevel Lumbosacral Plexus Avulsion Injury

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Summary:.We report successful restoration of quadriceps function following contralateral obturator to lateral branch of the femoral nerve transfer (with intervening autograft) in s&d rex tool two patients with multilevel lumbosacral root avulsions, resulting in severe unilateral motor and sensory deficits.Three years postoperatively, patient 1 had regained Medical Research Council grade 3 knee extension with the ability to extend against 10 pounds of resistance.At 28 months postoperatively, patient 2 had regained Medical Research Council grade 2 knee extension.

Treatment options for severe lumbosacral plexus injuries with multiple root avulsions are limited.This approach offers a new option for alesmith tower of flower these devastating injuries.