• Foot Ankle Int · Jul 2004

    The treatment of painful neuroma on the lower extremity by resection and nerve stump transplantation into a vein.

    • Horst Koch, Martin Hubmer, Heike Welkerling, Andreas Sandner-Kiesling, and Erwin Scharnagl.
    • Division of Plastic Surgery, Department of Surgery, University Medical Center, Graz, Austria. horst.koch@meduni-graz.at
    • Foot Ankle Int. 2004 Jul 1;25(7):476-81.

    AbstractLower extremity neuroma resection with nerve stump transposition into a vein was employed in eight patients (five male, three female). The neuromas resulted from amputations (four patients), vein stripping procedures (two patients), tumor resection, and toe-harvest for thumb reconstruction. Follow-up averaged 17 months (range, 8-37). Four of the patients experienced complete and permanent relief of pain; in three patients mild pain recurred within 3 months. All of these patients were satisfied with the result and did not request further treatment. In one case, a painful neuroma recurred. Our results suggest the possibility of inhibiting the formation of painful neuromas by nerve transposition into a vein. Further use of this method is encouraged.

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