TY - JOUR
T1 - Peripheral Interventions for Painful Stump Neuromas of the Lower Limb
T2 - A Systematic Review
AU - Poyntz, Stephanie Alexandra
AU - Dalal, Milind
AU - Hacking, Nicholas
AU - Fowler, Stephen
PY - 2018/3/1
Y1 - 2018/3/1
N2 - OBJECTIVES:: Painful stump neuromas in lower limb amputees are a significant burden on a person’s quality of life due to interference with wearing prostheses and therefore the ability to walk. Treating painful stump neuromas is a challenge perhaps reflected by the lack of clinical guidelines both in the United Kingdom and internationally. METHODS:: A systematic review was conducted to evaluate the efficacy of all treatments tried in the management of symptomatic neuromas in the lower limb amputation stump in order to establish whether one treatment is superior. RESULTS:: Twenty-two studies were included in the final review which examined 14 different treatments both surgical and non-surgical. Results showed that no single treatment showed superiority. DISCUSSION:: The four treatments that showed most promise included targeted nerve implantation (TNI), traction neurectomy, nerve-to-nerve anastomosis and perineurial gluing. The short follow-up times and small sample sizes of the studies highlighted the need for more robust clinical studies.
AB - OBJECTIVES:: Painful stump neuromas in lower limb amputees are a significant burden on a person’s quality of life due to interference with wearing prostheses and therefore the ability to walk. Treating painful stump neuromas is a challenge perhaps reflected by the lack of clinical guidelines both in the United Kingdom and internationally. METHODS:: A systematic review was conducted to evaluate the efficacy of all treatments tried in the management of symptomatic neuromas in the lower limb amputation stump in order to establish whether one treatment is superior. RESULTS:: Twenty-two studies were included in the final review which examined 14 different treatments both surgical and non-surgical. Results showed that no single treatment showed superiority. DISCUSSION:: The four treatments that showed most promise included targeted nerve implantation (TNI), traction neurectomy, nerve-to-nerve anastomosis and perineurial gluing. The short follow-up times and small sample sizes of the studies highlighted the need for more robust clinical studies.
UR - http://www.scopus.com/inward/record.url?scp=85021832842&partnerID=8YFLogxK
U2 - 10.1097/AJP.0000000000000533
DO - 10.1097/AJP.0000000000000533
M3 - Article
AN - SCOPUS:85021832842
SN - 0749-8047
JO - Clinical Journal of Pain
JF - Clinical Journal of Pain
ER -