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
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
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