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Table 2 Questionnaire

From: Subjective outcome related to donor site morbidity after sural nerve graft harvesting: a survey in 41 patients

 

Present patient (n = 41)

Healthy patients with sural nerve biopsy (Dahlin et al. 1997) [4]: (n=21)

1. Did you have any discomfort in the foot directly after the operation?

  

Yes

15 (37%)

2 (10%)

No

24 (59%)

19 (90%)

No reply

2 (5%)

 

2. Did you experience any loss of sensation in the operated area after the operation?

  

Yes

38 (93%)

19 (90%)

No

3 (7%)

2 (10%)

3. Did you experience pain in the operated area after the operation?

  

Yes

21 (51%)

7 (33%)

No

18 (44%)

14 (67%)

No reply

2 (5%)

 

4. Do you have loss of sensation in the operated foot compared with the other foot?

  

Yes

35 (85%)

19 (90%)

No

6 (15%)

2 (10%)

5. Mark the area of sensory deficit in the figure.

  
 

See Figure 1 for details. 5 (12%) did not draw at all.

 

6. (a) Has the area with loss of sensation decreased compared with the time directly following surgery?

  

Yes

19 (46%)

8 (38%)

No

22 (54%)

13 (62%)

(b) If yes, how much (%)

  

0-25

3 (7%)

2 (10%)

26-50

6 (15%)

1 (5%)

51-75

7 (17%)

3 (14%)

76-100

3 (7%)

2 (10%)

7. (a) Do you feel pain in the foot/lower leg?

  

Yes

8 (20%)

1 (5%)

No

33 (80%)

20 (95%)

(b) When?

  

Day time

5 (12%)

0 (0%)

Night time

2 (5%)

0 (0%)

Day time and Night time

1 (2%)

1 (5%)

8. (a) Do you have problems with cold intolerance in the operated foot/lower leg?

  

Yes

12 (29%)

1 (5%)

No

29 (71%)

20 (95%)

(b) If yes, how often?

  

Frequently

3 (7%)

0 (0%)

Sometimes

6 (15%)

0 (0%)

Rarely

3 (7%)

1 (5%)

9. (a) Have you experienced problems with increased skin sensation when the skin is touched?

  

Yes

21 (51%)

7 (33%)

No

20 (49%)

14 (67%)

(b) If yes, how often?

  

Frequently

7 (17%)

0 (0%)

Sometimes

5 (12%)

4 (19%)

Rarely

9 (22%)

3 (14%)

10.(a) Do you experience discomfort or tingling along the outside of the foot?

  

Yes

22 (54%)

10 (48%)

No

19 (46%)

11 (52%)

(b) If so, when do these symptoms occur?

  

At rest

6 (15%)

3 (14%)

During walking

4 (10%)

1 (5%)

Impact against surgical site

15 (37%)

6 (29%)

11. How would you describe your problems at the moment?

  

Disturbed sleep

0 (0%)

0 (0%)

Powerful

2 (5%)

1 (5%)

Affecting daily living

5 (12%)

1 (5%)

Mild

19 (46%)

11 (52%)

None

16 (39%)

8 (38%)

12. Do you have to take painkillers often?

  

Yes

0 (0%)

0 (0%)

No

37 (100%)

21 (100%)

13. (a) Do you have any disease that can affect the nervous system, for example; diabetes, vitamin deficiency or thyroid disease.

  

Yes

3 (7%)

-

No

38 (93%)

-

(b) If yes, which?

  
 

Diabetes mellitus

-

Thyreoiditis

14. A theoretical question: would you be positive to have your other sural nerve harvested if you had to undergo another nerve reconstructive surgery?

  

Yes

36 (88%)

7 (33%)

No

5 (12%)

14 (67%)

Right now how much does your nerve injury affect you? (VAS)

25 (0–100)

-

[0 = no impact at all; 100 = severe impact]

  

What impact has your nerve injury had on leisure activities? (VAS)

8.5 (0–100)

-

[0 = no impact at all; 100 = severe impact]

  

How does your injury affect your work or school attendance? (VAS)

11.5 (0–100)

-

[0 = no impact at all; 100 = severe impact]