• Br J Plast Surg · Apr 1997

    Comparative Study Clinical Trial Controlled Clinical Trial

    Prevention of painful neuromas by epineural ligatures, flaps and grafts.

    • F Yüksel, E Kişlaoğlu, N Durak, C Uçar, and E Karacaoğlu.
    • Department of Plastic and Reconstructive Surgery, GATA Haydarpaşa Training Hospital, Kadiköy-Istanbul, Turkey.
    • Br J Plast Surg. 1997 Apr 1;50(3):182-5.

    AbstractNeuroma formation at the proximal end of a divided nerve is a common problem in peripheral nerve surgery. Forty-eight nerve endings in 23 patients with traumatic or post-elective surgery amputation stumps were capped with either an epineural ligature, epineural flaps or an epineural graft. Each technique was used on 16 nerve endings. After at least 6 months follow-up, pain at the nerve endings was assessed by tapping the treatment sites and asking the patients to score their pain on a visual analogue scale (VAS) from 0 to 10. The mean VAS scores were 5.18 for epineural ligatures, 4.25 for epineural flaps and 2.06 for epineural grafts. Epineural grafts were significantly more effective in preventing neuroma pain (ANOVA: F = 11.4, P < 0.05).

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