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Contrary to the beliefs of many, that lower extremity
nerve lesion repair has a relatively poor prognosis, Dr. Terzis
has a large experience with the microsurgical repair of these
lesions. Recent analysis of our patient population has yielded
that in early lesions, good to excellent results can be obtained
using a lot of the techniques she has introduced for the microsurgical
care of these injuries, including use of vascularized nerve grafts,
and use of vascularized fascia flaps to enhance the blood supply and
facilitate regeneration through these long nerve grafts.
In regards to peroneal nerve lesions, in the late seventies,
the prognosis for recovery of function following injury to this nerve
was guarded. Over the past twenty years, Dr. Terzis has accumulated
one of the largest series of common peroneal nerve lesions in North
America by introducing new strategies of repair that are based on an
understanding of the anatomical, neurophysiological, and vascular
characteristics surrounding this particular lower extremity nerve.
The strategies of microsurgical reconstruction have been designed
to combat appreciable nerve gaps, and compromised blood supply by
provision of vascularized tissue that guarantees successful nerve
regrowth. Dr. Terzis’work shows that the surgical repair of lower
extremity lesions is worthwhile, with the majority of results for
early lesions ranging from good to excellent.
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