دورية أكاديمية
Muscle-in-Vein Conduits for the Treatment of Symptomatic Neuroma of Sensory Digital Nerves.
العنوان: | Muscle-in-Vein Conduits for the Treatment of Symptomatic Neuroma of Sensory Digital Nerves. |
---|---|
المؤلفون: | Ederer IA; Department of Hand, Plastic, Reconstructive, and Burn Surgery, BG Unfallklinik, Eberhard Karls University Tuebingen, 72076 Tuebingen, Germany.; Department of Plastic and Aesthetic, Reconstructive and Hand Surgery, AGAPLESION Markus Hospital, 60431 Frankfurt, Germany., Kolbenschlag J; Department of Hand, Plastic, Reconstructive, and Burn Surgery, BG Unfallklinik, Eberhard Karls University Tuebingen, 72076 Tuebingen, Germany., Daigeler A; Department of Hand, Plastic, Reconstructive, and Burn Surgery, BG Unfallklinik, Eberhard Karls University Tuebingen, 72076 Tuebingen, Germany., Wahler T; Department of Hand, Plastic, Reconstructive, and Burn Surgery, BG Unfallklinik, Eberhard Karls University Tuebingen, 72076 Tuebingen, Germany.; Department of Hand, Plastic and Aesthetic Surgery, Medius Hospital Nuertingen, 72622 Nuertingen, Germany. |
المصدر: | Journal of personalized medicine [J Pers Med] 2022 Sep 15; Vol. 12 (9). Date of Electronic Publication: 2022 Sep 15. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101602269 Publication Model: Electronic Cited Medium: Print ISSN: 2075-4426 (Print) Linking ISSN: 20754426 NLM ISO Abbreviation: J Pers Med Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: Basel, Switzerland : MDPI AG, 2011- |
مستخلص: | Background: Considering the debilitating burden of neuroma resulting in a significant loss of function and excruciating pain, the use of muscle-in-vein conduits (MVCs) for the reconstruction of painful neuroma of sensory nerves of the fingers was assessed. Methods: We retrospectively analyzed 10 patients who underwent secondary digital nerve repair by MVCs. The recovery of sensibility was evaluated by static and moving two-point discrimination (2PDs, 2PDm) and Semmes-Weinstein monofilament testing (SWM). The minimum follow-up was set 12 months after the operation. Results: The median period between trauma and nerve repair was 13.4 weeks (IQR 53.5). After neuroma resection, defects ranged from 10-35 mm (mean 17.7 mm, SD 0.75). The successful recovery of sensibility was achieved in 90% of patients after a median follow-up of 27.0 months (IQR 31.00). The mean 2PDs and 2PDm was 8.1 mm (SD 3.52) and 5.2 mm (SD 2.27), respectively. Assessment by SWM resulted in a mean value of 3.54 (SD 0.69). Reduction in pain was achieved among all patients; eight patients reported the complete relief of neuropathic pain. There was no recurrence of neuroma in any patient. Conclusions: Muscle-in-vein conduits provide an effective treatment for painful neuroma of digital nerves, resulting in satisfactory restoration of sensory function and relief of pain. |
References: | Neural Regen Res. 2016 Feb;11(2):338-44. (PMID: 27073390) Plast Reconstr Surg. 1989 Dec;84(6):944-9; discussion 950-2. (PMID: 2587658) Plast Reconstr Surg. 1990 Nov;86(5):928-34. (PMID: 2236318) Microsurgery. 2000;20(1):32-6. (PMID: 10617879) Ann Plast Surg. 2000 Nov;45(5):509-14. (PMID: 11092360) Microsurgery. 2020 Jul;40(5):527-537. (PMID: 32101338) J Hand Surg Br. 1993 Jun;18(3):327-30. (PMID: 8345259) Hand (N Y). 2016 Jun;11(2):NP5-9. (PMID: 27390572) Ann Plast Surg. 2019 Apr;82(4S Suppl 3):S247-S255. (PMID: 30855395) Plast Reconstr Surg. 1990 Mar;85(3):419-24. (PMID: 2154831) Am J Orthop (Belle Mead NJ). 1997 Jul;26(7):481-5. (PMID: 9247655) Am J Ind Med. 1996 Jun;29(6):602-8. (PMID: 8773720) J Hand Surg Br. 1993 Aug;18(4):449-53. (PMID: 8409654) Microsurgery. 2014 Nov;34(8):608-15. (PMID: 25088084) J Hand Surg Am. 1992 Jul;17(4):677-87. (PMID: 1629548) J Comp Neurol. 2005 Aug 22;489(2):249-59. (PMID: 15984006) Neural Regen Res. 2015 Oct;10(10):1674-7. (PMID: 26692868) J Hand Surg Am. 2013 Oct;38(10):1965-71. (PMID: 23998191) Microsurgery. 2000;20(1):37-41. (PMID: 10617880) Sci Rep. 2021 Jun 3;11(1):11691. (PMID: 34083605) Microsurgery. 1989;10(2):142-4. (PMID: 2770515) Plast Reconstr Surg Glob Open. 2021 Oct 04;9(10):e3832. (PMID: 34616638) Int Rev Neurobiol. 2009;87:141-72. (PMID: 19682637) Microsurgery. 2000;20(2):65-71. (PMID: 10702739) Neuroreport. 2010 Oct 6;21(14):958-62. (PMID: 20729767) Chir Main. 2010 Sep;29(4):255-62. (PMID: 20727807) Microsurgery. 2012 Jul;32(5):358-63. (PMID: 22422438) Plast Reconstr Surg Glob Open. 2018 Oct 16;6(10):e1952. (PMID: 30534497) J Reconstr Microsurg. 2000 Feb;16(2):95-8; discussion 98-9. (PMID: 10706198) Neurosurg Focus. 2004 May 15;16(5):E1. (PMID: 15174821) Pain. 2018 Feb;159(2):214-223. (PMID: 29189515) J Hand Surg Am. 2014 Jun;39(6):1208-15. (PMID: 24862117) J Hand Surg Am. 2011 Jan;36(1):183. (PMID: 21193138) Microsurgery. 1993;14(4):247-51. (PMID: 8412634) Acta Biomed. 2021 Apr 30;92(S1):e2021163. (PMID: 33944845) J Hand Surg Am. 2010 Sep;35(9):1418-26. (PMID: 20807618) |
فهرسة مساهمة: | Keywords: digital nerve reconstruction; hand surgery; muscle-in-vein conduit; neuroma; pain reduction; restoration of function; secondary nerve repair |
تواريخ الأحداث: | Date Created: 20220923 Latest Revision: 20220928 |
رمز التحديث: | 20240628 |
مُعرف محوري في PubMed: | PMC9503054 |
DOI: | 10.3390/jpm12091514 |
PMID: | 36143300 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2075-4426 |
---|---|
DOI: | 10.3390/jpm12091514 |