The possibility of deep peroneal nerve neurotisation by the superficial peroneal nerve: an anatomical approach

Neurotisation involves transfer of nerves for the restoration of function f ollowing injury. A number of nerves have been used in different part of the peripheral nervous system. This study was undertaken to develop a practica l and relatively safe surgical approach to the treatment of L4 root lesion' s. We examined the effectiveness and safety of neurotisation of the deep pe roneal nerve and its branches by the superficial peroneal nerve. Twelve leg s of dissected cadavers provided for teaching purposes in the anatomy labor atory were used to display the common peroneal nerve and its branches. Each branch was measured using calipers and analysed to investigate the possibi lity of neurotisation of the deep peroneal nerve by the superficial peronea l nerve and its branches. It was found that of the measured branches, trans position was possible between those to peroneus longus and tibialis anterio r on the basis of their diameter and length. In recent decades, advances in microsurgical reconstruction and understanding of the microanatomy have pl ayed major roles in improving the results of surgical treatment of nerve in juries. There is a need for further experimental studies on the feasibility of this surgical approach.