A consecutive series of targeted muscle reinnervation (TMR) cases for relief of neuroma and phantom limb pain: UK perspective
Autor: | Dominika A. Michno, Alexander Woollard, Yazan Al-Ajam, Norbert Kang, Jaclyn Tan, Esther Hansen |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Complete data medicine.medical_treatment Phantom limb pain Amputation Surgical Neuroma Amputees Medicine Humans In patient Muscle Skeletal Nerve Transfer Retrospective Studies business.industry medicine.disease United Kingdom Surgery medicine.anatomical_structure Amputation Phantom Limb business Complication Major amputation Reinnervation |
Zdroj: | Journal of plastic, reconstructiveaesthetic surgery : JPRAS. 75(3) |
ISSN: | 1878-0539 |
Popis: | BACKGROUND Studies have suggested that targeted muscle reinnervation (TMR) can improve symptoms of neuroma pain (NP) and phantom limb pain (PLP) in patients. OBJECTIVES Our primary objective was to measure changes in NP and PLP levels following TMR surgery at 4-time points (baseline, 3, 6- and 12-months postoperatively). Secondary aims included identification of the character and rate of any surgical complications and patients' satisfaction with TMR. METHODS A retrospective review of outcomes of 36 patients who underwent TMR surgery to treat intractable NP and/or PLP after major amputation of an upper (UL) or lower limb (LL) at a single centre in London, UK over 7 years. The surgical techniques, complications, and satisfaction with TMR are described. RESULTS Forty TMR procedures were performed on 36 patients. Thirty patients had complete data for NP and PLP levels at all pre-defined time points. Significant improvements (p |
Databáze: | OpenAIRE |
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