A comparative study of two methods of surgical treatment for painful neuroma
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID 1196717
Author(s) Balcin, H; Erba, P; Wettstein, R; Schaefer, D J; Pierer, G; Kalbermatten, D F
Author(s) at UniBasel Schaefer, Dirk Johannes
Kalbermatten, Daniel F.
Year 2009
Title A comparative study of two methods of surgical treatment for painful neuroma
Journal The journal of bone and joint surgery : JBJS
Volume 91
Number 6
Pages / Article-Number 803-8
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.
Publisher British Editorial Society of Bone and Joint Surgery
ISSN/ISBN 0301-620X
edoc-URL http://edoc.unibas.ch/dok/A6006880
Full Text on edoc No
Digital Object Identifier DOI 10.1302/0301-620X.91B6.22145
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/19483236
ISI-Number WOS:000267035300017
Document type (ISI) Journal Article, Randomized Controlled Trial

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