Summary:.We report successful restoration of quadriceps function following contralateral obturator to lateral branch of the femoral nerve transfer (with intervening autograft) in two patients with multilevel lumbosacral root avulsions, resulting in severe unilateral motor and sensory deficits.Three years postoperatively, SURF LOTION patient 1 had regained Medical Research Council grade 3 knee extension with the ability to extend against 10 pounds of resistance.At 28 months postoperatively, patient 2 had regained Medical Research Council grade 2 knee extension.Treatment options Shorts for severe lumbosacral plexus injuries with multiple root avulsions are limited.
This approach offers a new option for these devastating injuries.