Obturator to Femoral Nerve Transfer for Femoral Nerve Palsy Using a Modified Technique-Juniper-Publisher
Juniper Online Journal of Orthopedic & Orthoplastic Surgery Introduction Though uncommon, femoral nerve palsies are potentially devastating injuries which can occur as a result of penetrating trauma or malignancies, however the most common cause is inadvertent iatrogenic injury following intra abdominal surgery such as gynaecological/vascular surgery or total hip replacement [ 1 ]. We present a case of iatrogenic femoral nerve injury with a delayed presentation resulting in an 8.5cm nerve defect, which was managed with both traditional cable grafting and a contemporary nerve transfer utilising a modification of an existing technique. Case Report In September 2015 a 49 year old female presented to our institution 6 months following a laparoscopic inguinal hernia repair which had resulted in a complete transection of the right femoral nerve. There was a 6 month delay in diagnosis of the iatrogenic injury. The patient had an extraperit...
