{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T08:12:38Z","timestamp":1771488758008,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,9,22]],"date-time":"2020-09-22T00:00:00Z","timestamp":1600732800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Peroneal nerve palsy with resultant foot drop has significant impacts on gait and quality of life. Traditional management includes ankle\u2010foot\u2010orthosis, tendon transfer, and arthrodesis\u2014each with certain disadvantages. While nerve transfers for peroneal nerve injury have been reported in adults, with variable results, they have not been described in the pediatric population. We report the use of partial tibial nerve transfer for foot drop from deep peroneal nerve palsy in three pediatric patients. The first sustained a partial common peroneal nerve laceration and underwent transfer of a single tibial nerve branch to deep peroneal nerve 7\u00a0months after injury. Robust extensor hallucis longus and extensor digitorum longus reinnervation was obtained without satisfactory tibialis anterior function. The next patient sustained a thigh laceration with partial sciatic nerve injury and underwent transfer of two tibial nerve branches directly to the tibialis anterior component of deep peroneal nerve 9\u00a0months after injury. The final patient sustained a blast injury to the posterior knee and similarly underwent a double fascicular transfer directly to tibialis anterior 4\u00a0months after injury. The latter two patients obtained sufficient strength (MRC 4\u20135) at 1\u00a0year to discontinue orthosis. In all patients, we used flexor hallucis longus and\/or flexor digitorum longus branches as donors without postoperative loss of toe flexion. Overall, our experience suggests that early double fascicular transfer to an isolated tibialis anterior target, combined with decompression, could produce robust innervation. Further study and collaboration are needed to devise new ways to treat lower extremity nerve palsies.<\/jats:p>","DOI":"10.1002\/micr.30650","type":"journal-article","created":{"date-parts":[[2020,9,23]],"date-time":"2020-09-23T00:51:46Z","timestamp":1600822306000},"page":"71-75","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Partial tibial nerve transfer for foot drop from deep peroneal palsy: Lessons from three pediatric cases"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0986-8888","authenticated-orcid":false,"given":"Christopher S.","family":"Crowe","sequence":"first","affiliation":[{"name":"Division of Craniofacial and Plastic Surgery, Department of Surgery Seattle Children's Hospital  Seattle Washington USA"},{"name":"Division of Plastic Surgery, Department of Surgery University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent S.","family":"Mosca","sequence":"additional","affiliation":[{"name":"Orthopedics and Sports Medicine, Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8131-7306","authenticated-orcid":false,"given":"Marisa B.","family":"Osorio","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5856-1463","authenticated-orcid":false,"given":"Sarah P.","family":"Lewis","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0179-9809","authenticated-orcid":false,"given":"Raymond W.","family":"Tse","sequence":"additional","affiliation":[{"name":"Division of Craniofacial and Plastic Surgery, Department of Surgery Seattle Children's Hospital  Seattle Washington USA"},{"name":"Division of Plastic Surgery, Department of Surgery University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-008-0321-x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.10189"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MRR.0b013e3282f14444"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/2473011418780700"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30174"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000000062"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000318"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-011-1924-9"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/1673-5374.130094"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1667047"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.3171\/JNS-07\/08\/0314"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715593146"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198902000-00022"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199608000-00014"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000124752.40412.03"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000000897"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-198908000-00006"},{"key":"e_1_2_8_19_1","unstructured":"Mackinnon S. E. &Yee A. (n.d.).Common peroneal nerve release at the fibular head. Retrieved fromhttps:\/\/www.youtube.com\/watch?v=GDC0wDHtdy0"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0028-1082894"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0028-1104548"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200207000-00020"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/229255031202000104"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30650","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/micr.30650","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30650","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T07:42:21Z","timestamp":1693208541000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.30650"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,22]]},"references-count":22,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1002\/micr.30650"],"URL":"https:\/\/doi.org\/10.1002\/micr.30650","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,22]]},"assertion":[{"value":"2020-02-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-08-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}