{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T11:17:50Z","timestamp":1773400670522,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,4,26]],"date-time":"2025-04-26T00:00:00Z","timestamp":1745625600000},"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":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Long segment losses exceeding 10\u2009cm in the sciatic nerve are challenging in both the reconstructive techniques and optimizing sensory and motor function recovery. This case report and literature review describes our experience of using a pedicled vascularized common peroneal nerve graft to repair a 14\u2010cm sciatic nerve defect, involving\n                    <jats:styled-content style=\"fixed-case\">L4<\/jats:styled-content>\n                    ,\n                    <jats:styled-content style=\"fixed-case\">L5<\/jats:styled-content>\n                    , and\n                    <jats:styled-content style=\"fixed-case\">S1<\/jats:styled-content>\n                    nerve roots. Additionally, we conducted a literature review of various types of nerve autografts for large sciatic nerve defects, summarizing their characteristics and outcomes to aid clinicians in decision\u2010making and expected results in different scenarios. The patient, a 23\u2010year\u2010old female diagnosed with neurofibromatosis type I, underwent\n                    <jats:styled-content style=\"fixed-case\">R0<\/jats:styled-content>\n                    tumor resection of the proximal left sciatic nerve due to a malignant peripheral nerve sheath tumor. She received an ipsilateral pedicled vascularized common peroneal nerve graft. The reconstruction included the\n                    <jats:styled-content style=\"fixed-case\">L4<\/jats:styled-content>\n                    ,\n                    <jats:styled-content style=\"fixed-case\">L5<\/jats:styled-content>\n                    , and\n                    <jats:styled-content style=\"fixed-case\">S1<\/jats:styled-content>\n                    nerve roots beyond the greater sciatic foramen into the inner pelvis. The patient's postoperative course was uneventful. At the 26\u2010month follow\u2010up, she showed\n                    <jats:styled-content style=\"fixed-case\">MRC<\/jats:styled-content>\n                    grade 4\/5 strength in hamstrings with 90\u00b0knee flexion and a steady gait pattern. At the 32\u2010month follow\u2010up, she could ambulate very well with an ankle\u2010foot orthosis. The outcomes support the use of a pedicled vascularized common peroneal nerve graft in a single\u2010staged surgery to restore motor function for large sciatic nerve defects. Our literature review revealed that in cases where sural nerves are insufficient or injured for sciatic nerve reconstruction, the common peroneal nerve is a viable alternative to help patients regain functional independence.\n                  <\/jats:p>","DOI":"10.1002\/micr.70064","type":"journal-article","created":{"date-parts":[[2025,4,26]],"date-time":"2025-04-26T07:19:51Z","timestamp":1745651991000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Pedicled Vascularized Common Peroneal Nerve Graft in Sciatic Nerve Reconstruction With Involvement of Inner Pelvic Lumbar and Sacral Nerve Roots: A Case Report and Literature Review"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9029-4721","authenticated-orcid":false,"given":"Rou","family":"Wan","sequence":"first","affiliation":[{"name":"Department Of Orthopedic Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aida K.","family":"Sarcon","sequence":"additional","affiliation":[{"name":"Division Of Plastic Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandra","family":"Aristizabal","sequence":"additional","affiliation":[{"name":"Division Of Plastic Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet Furkan","family":"Tunaboylu","sequence":"additional","affiliation":[{"name":"Division Of Plastic Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mattew T.","family":"Houdek","sequence":"additional","affiliation":[{"name":"Department Of Orthopedic Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven L.","family":"Moran","sequence":"additional","affiliation":[{"name":"Department Of Orthopedic Surgery Mayo Clinic  Rochester Minnesota USA"},{"name":"Division Of Plastic Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,26]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.CC.21.00192"},{"key":"e_1_2_6_3_1","article-title":"Delayed Presentation of Sciatic Nerve Injury With Gap: A Case Report With a Unique Solution From the Past","volume":"12","author":"Ashwath M. 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