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

Balcin, H. and Erba, P. and Wettstein, R. and Schaefer, D. J. and Pierer, G. and Kalbermatten, D. F.. (2009) A comparative study of two methods of surgical treatment for painful neuroma. The journal of bone and joint surgery : JBJS, Vol. 91. pp. 803-808.

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Official URL: http://edoc.unibas.ch/dok/A6006880

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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.
Faculties and Departments:03 Faculty of Medicine > Bereich Operative Fächer (Klinik) > Bewegungsapparat und Integument
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Operative Fächer (Klinik) > Bewegungsapparat und Integument
03 Faculty of Medicine > Bereich Operative Fächer (Klinik) > Bewegungsapparat und Integument > Plastische, rekonstruktive, ästhetische und Handchirurgie (Schaefer)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Operative Fächer (Klinik) > Bewegungsapparat und Integument > Plastische, rekonstruktive, ästhetische und Handchirurgie (Schaefer)
UniBasel Contributors:Schaefer, Dirk Johannes and Kalbermatten, Daniel F.
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:British Editorial Society of Bone and Joint Surgery
ISSN:0301-620X
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:24 May 2013 09:21
Deposited On:24 May 2013 09:00

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