Nerves Of Foot Research Articles

Application of free super-thin venous skin flap of dorsal foot for repair of soft tissue defects of finger

Objective To explore the clinical efficacy of free super-thin venous skin flap of dorsal foot for repair of soft tissue defects of finger. Methods From January 2017 to January 2018, 14 patients with soft tissue defect of finger were treated. The super-thin venous flaps were harvested from the dorsal foot according to the area of finger defects. The wound was repaired by arterialization of veins. The dorsal cutaneous nerve of foot was incised in 4 cases. The donor site was sutured directly. The functional exercises were started after 2 weeks of immobilization. Results All the patients were follow-up for 6 to 12 months, 11 cases survived uneventfully, 2 cases had partial necrosis of skin flaps, and 1 case lost follow-up after 3 months. The partial necrosis of skin flaps healed after dressing change. 10 cases had two-point discrimination of 11 to 13 mm, and 4 cases with nerve in flaps had two-point discrimination of 7 to 9 mm. Conclusion It is simple and satisfactory to repair finger tissue defects with super-thin venous skin flap of dorsal foot. The donor site can be sutured directly and the sensory function can be reconstructed simultaneously with dorsal foot nerve excision. Key words: Finger injuries; Surgical flaps; Arterialized venous; Super-thin skin flap

Positive effects of plantar vibration training for the treatment of diabetic peripheral neuropathy: A pilot study

Purpose: To evaluate the effectiveness of 8-week low-frequency plantar vibration training on patients with sensorimotor diabetic peripheral neuropathy (DPN).Participants: Twelve patients took part in the investigation.Results: An increase of the nerve conductive velocity of soral and peroneal nerves of feet, increased postural stability, and disappearance of the pain and tingling were observed.Conclusion: The obtained results provide evidence for beneficial effects of 8-week plantar vibration training in patients with DPN.

Factors Associated With Diabetic Neuropathy In Rats: A Systematic Review With Metanalysis

Diabetic neuropathy refers to a group of symptoms associated with the nerve’s damaged ability to perform its functions correctly. Symptoms may vary from paresis to pains that mainly affect sensitive or motor long nerves of feet and hands. Hence, experiments and analysis carried out with rodents, especially rats, allow several clinical interfaces to be known. Therefore, the aim of this study was to analyze the factors associated with diabetic neuropathy in rats. This is a systematic review with metanalysis. Data collection followed some priorelection criteria. The sources of information for the researched data are the databases MEDLINE/PubMed and Scopus. The research was conducted using the keywords found in descriptors/MeSH: rats, diabetic neuropathies, and risk factors with the Boolean operator “AND”.
 The BioEstat 5.3 was used for statistical analysis, and the Odds Ratio was calculated with a 95% confidence interval (CI). Eighty-three references were found, of which 17 followed the criteria and were then included in the present review. Some factors like nerve morphology, blood hypertension, oxidative stress, diabetes period, hypoglycemic effect, vascular complications, and insulin parameters represent the main risk factors for the development of diabetic neuropathy, as well as diabetes induction in rats by using drugs. Such factors are verysimilar to those from humans, thus requiring a deeper analysis of the theme in a considerable human sample.

Defects of fore foot repaired by reverse medial dorsal neurocutaneous flap of foot in emergency

Objective To investigate the possibility of repairing the defects of fore foot by reverse medial dorsal neurocutaneous flap on foot in emergency.Methods Flap was designed along medial dorsal cutaneous nerve of foot,the axis of the medial branch was the line between lateral part of malleolar middle point and medial part of first metatarsophalangeal joint,and the axis of the lateral branch was the line between middle point of two malleolars and the tip of the great toe webspace,the pedicle located on the distant part of the foot.Based on the size of wound,the flap was cut off from the deep fascia layer,and medial dorsal cutaneous nerve of foot was anastomosed with nerve of digitales plantares proprii.All patients were operated in emergency.Results Eleven patients with defect of fore foot were perfectively recovered and all the wounds healed primarily.The appearances and functions of the foots were satisfactory,with two point sensation of 2-3 cm after 6-11 months postoperatively and without any skin fester.Conclusion Medial dorsal cutaneous nerve of foot has advantages as follows:simply procedures,avoidance of sacrificing major arteries,less harm to donor area,good recovery of sensation.So it is a good method to repair tissue defects of fore foot. Key words: Medial dorsal cutaneous nerve of foot; Surgical flaps; Transplantation; Microsurgery

Anatomical study and primary clinical application of the medial dorsal neurocutaneous flap on foot

目的 为足背内侧皮神经营养血管皮瓣设计提供解剖学依据,并报道其临床应用效果.方法32侧乳胶灌注的成人下肢标本,对足背内侧皮神经及其营养血管进行解剖,观察其起始、直径、走行、分支及分布情况.在此基础上设计足背内侧皮神经营养血管皮瓣应用于临床修复足前端创面3例.结果足背内侧皮神经均续于腓浅神经,行于踝间线时位于中点内侧(0.7±4.3)mm,直径为(2.59±0.54)mm,主干于踝间线远端(3.0±1.5)cm处发出1～3条分支.足背内侧皮神经营养血管平均每侧6.9支,最为恒定的分支穿深筋膜时分别位于踝间线近端(4.1±0.5)cm,直径为(0.81±0.13)mm;第一跖趾关节内侧近端(1.4±0.2)cm,直径(0.48±0.08)mm;第二趾蹼尖近端(1.5±0.3)cm,直径(0.46±0.08)mm.临床应用3例皮瓣均完全成活.结论足背内侧皮神经营养血管皮瓣血供可靠,逆行皮瓣转移是一种理想的修复足前端创面的手术方法。