Evidence map›Paper›PMID 34501477›Full record

ArticleJournal of clinical medicine2021

Reduction of Phantom Limb Pain and Improved Proprioception through a TSR-Based Surgical Technique: A Case Series of Four Patients with Lower Limb Amputation.

Alexander Gardetto, Eva-Maria Baur, Cosima Prahm, Vinzenz Smekal, Johannes Jeschke, Gerfried Peternell, Michael T Pedrini, Jonas Kolbenschlag

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06249594 (Real-World Treatment Patterns, Clinical Outcomes of a Novel Method in Targeted Sensory Re-innervation in Hand Amputation by Using and Reactivation of Existing Nerves to Treat and Prevent Phantom Pain A Retrospective, Non-interventional, Multinational, Multi-center Retrospective Data Analysis to Describe the Treatment Patterns and Clinical Outcomes in a Novel Method in Targeted Sensory Reinnervation in Patients With Hand Amputation by Using and Reactivation of Existing Nerves to Treat and Prevent Phantom Pain.), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06249594 completednot on this mapstarted 2022, after this paper: background citation

Real-World Treatment Patterns, Clinical Outcomes of a Novel Method in Targeted Sensory Re-innervation in Hand Amputation by Using and Reactivation of Existing Nerves to Treat and Prevent Phantom Pain A Retrospective, Non-interventional, Multinational, Multi-center Retrospective Data Analysis to Describe the Treatment Patterns and Clinical Outcomes in a Novel Method in Targeted Sensory Reinnervation in Patients With Hand Amputation by Using and Reactivation of Existing Nerves to Treat and Prevent Phantom Pain.

TypeobservationalSponsorBrixsana Private Clinic - Centro di Chirurgia Plastica, Estetica ed Ricostruttiva con Chirurgia dellRan2022 to 2023Enrolled3ConditionsTargeted Sensory Reinervation, Amputation, Phantom PainArmstargeted sensory reinervation
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 32 citations in OpenAlex.

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  11. Wearable Technologies Using Peripheral Neuromodulation to Enhance Mobility and Gait Function in Older Adults-A Narrative Review.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Alexander GardettoCompetence Center for Bionic Prosthetics, Department of Plastic, Aesthetic and Reconstructive Surgery with Hand Surgery, Brixsana Private Clinic, 39042 Bressanone, Italy.ORCID 0000-0002-0671-4384
Eva-Maria BaurDepartment of Plastic, Aesthetic and Reconstructive Surgery, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Cosima PrahmBG Trauma Center Tuebingen, Department of Hand, Plastic, Reconstructive and Burn Surgery, Eberhard Karls University Tuebingen, 72108 Tuebingen, Germany.
Vinzenz SmekalAUVA Trauma Center Klagenfurt, Department of Trauma Surgery, 9020 Klagenfurt, Austria.
Johannes JeschkeDepartment of Plastic, Aesthetic and Reconstructive Surgery, Maria Hilf Private Clinic, 9020 Klagenfurt, Austria.
Gerfried PeternellDepartment of Exoprosthetics, AUVA Rehabilitation Clinic, 8144 Tobelbad, Austria.
Michael T PedriniDepartment of Internal Medicine, Brixsana Private Clinic, 39042 Bressanone, Italy.
Jonas KolbenschlagBG Trauma Center Tuebingen, Department of Hand, Plastic, Reconstructive and Burn Surgery, Eberhard Karls University Tuebingen, 72108 Tuebingen, Germany.ORCID 0000-0003-2822-421X
Krankenhaus Brixen · ITUniversity of Tübingen · DEInnsbruck Medical University · ATUniversity of Klagenfurt · AT

Funding

Horizon 2020 954604
6 · The paper itself

Abstract

Four patients underwent targeted sensory reinnervation (TSR), a surgical technique in which a defined skin area is first selectively denervated and then surgically reinnervated by another sensory nerve. In our case, either the area of the lateral femoral cutaneous nerve or the saphenous nerve was reinnervated by the sural nerve. Patients were then fitted with a special prosthetic device capable of transferring the sense of pressure from the sole of the prosthesis to the newly wired skin area. Pain reduction after TSR was highly significant in all patients. In three patients, permanent pain medication could even be discontinued, in one patient the pain medication has been significantly reduced. Two of the four patients were completely pain-free after the surgical intervention. Surgical rewiring of existing sensory nerves by TSR can provide the brain with new afferent signals seeming to originate from the missing limb. These signals help to reduce phantom limb pain and to restore a more normal body image. In combination with special prosthetic devices, the amputee can be provided with sensory feedback from the prosthesis, thus improving gait and balance.

Indexed as

amputationlower extremityneuroma painphantom limb paintargeted sensory reinnervationTSR

Identifiers

PMID34501477
PMCPMC8432479
OpenAlexW3198245755

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.