دورية أكاديمية
أعرض في EDS

Muscle-in-Vein Conduits for the Treatment of Symptomatic Neuroma of Sensory Digital Nerves.

التفاصيل البيبلوغرافية
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.
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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
الوصف
تدمد:2075-4426
DOI:10.3390/jpm12091514