A comparative study of two methods of surgical treatment for painful neuroma.

Details

Serval ID
serval:BIB_49060BAA8E0B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
A comparative study of two methods of surgical treatment for painful neuroma.
Journal
Journal of Bone and Joint Surgery. British volume
Author(s)
Balcin H., Erba P., Wettstein R., Schaefer D.J., Pierer G., Kalbermatten D.F.
ISSN
0301-620X
Publication state
Published
Issued date
2009
Peer-reviewed
Oui
Volume
91
Number
6
Pages
803-808
Language
english
Notes
Publication types: Comparative Study ; Journal Article ; Randomized Controlled Trial
Publication Status: ppublish
Abstract
Painful neuromas may follow traumatic nerve injury. We carried out a double-blind controlled trial in which patients with a painful neuroma of the lower limb (n = 20) were randomly assigned to treatment by resection of the neuroma and translocation of the proximal nerve stump into either muscle tissue or an adjacent subcutaneous vein. Translocation into a vein led to reduced intensity of pain as assessed by visual analogue scale (5.8 (SD 2.7) vs 3.8 (SD 2.4); p < 0.01), and improved sensory, affective and evaluative dimensions of pain as assessed by the McGill pain score (33 (SD 18) vs 14 (SD 12); p < 0.01). This was associated with an increased level of activity (p < 0.01) and improved function (p < 0.01). Transposition of the nerve stump into an adjacent vein should be preferred to relocation into muscle.
Keywords
Adult, Aged, Double-Blind Method, Humans, Lower Extremity/blood supply, Lower Extremity/innervation, Male, Middle Aged, Neuroma/surgery, Pain/psychology, Pain/surgery, Pain Measurement, Patient Satisfaction, Peripheral Nerves/transplantation, Prospective Studies, Young Adult
Pubmed
Web of science
Create date
16/12/2009 16:22
Last modification date
20/08/2019 13:56
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