
doi: 10.1002/jso.26487
pmid: 33831232
AbstractIntroductionAdvances in the care of soft‐tissue tumors, including imaging capabilities and adjuvant radiation therapy, have broadened the indications and opportunities to pursue surgical limb salvage. However, peripheral nerve involvement and femoral nerve resection can still result in devastating functional outcomes. Nerve transfers offer a versatile solution to restore nerve function following tumor resection.MethodsTwo cases were identified by retrospective review. Patient and disease characteristics were gathered. Preoperative and postoperative motor function were assessed using the Medical Research Council Muscle Scale. Patient‐reported pain levels were assessed using the numeric rating scale.ResultsNerve transfers from the obturator and sciatic nerve were employed to restore knee extension. Follow up for Case 1 was 24 months, 8 months for Case 2. In both patients, knee extension and stabilization of gait without bracing was restored. Patient also demonstrated 0/10 pain (an average improvement of 5 points) with decreased neuromodulator and pain medication use.ConclusionNerve transfers can restore function and provide pain control benefits and ideally are performed at the time of tumor extirpation. This collaboration between oncologic and nerve surgeons will ultimately result in improved functional recovery and patient outcomes.
Adult, Male, Soft Tissue Neoplasms, Liposarcoma, Peripheral Nerve Injuries, Humans, Female, Nerve Transfer, Femoral Nerve, Neurilemmoma, Aged, Retrospective Studies
Adult, Male, Soft Tissue Neoplasms, Liposarcoma, Peripheral Nerve Injuries, Humans, Female, Nerve Transfer, Femoral Nerve, Neurilemmoma, Aged, Retrospective Studies
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