Preventing Neuroma Nerve Formation By Pruning Cut Nerves Onto Other Nerves

Certain operations are fraught with neuroma issues – the classic being phantom limb. Measures to prevent that have not been entirely successful – – but who would have thought about End-to-Side Neurorraphy “pruning” cut nerves to intact ones.

Handchir Mikrochir Plast Chir. 2010 Aug;42(4):225-232. Epub 2010 Aug 3.
Treatment of Painful Neuromas via End-to-Side Neurorraphy.
Aszmann OC, Moser V, Frey M.   abstract here

  • 16 cases – all with neuromas – both arm and leg
  • 8 had had previous attempts at removal
  • “end-to-side neurorraphy into adjacent nerves”
  • results – “Some had dysaesthesias [unconformable funny feelings]for about 6 months, which finally subsided. All but 1 patient improved in their symptoms at a follow-up of more than 2 years.”

Comment – Looks promising but needs replicating.

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