ArticlePlastic and reconstructive surgery. Global open2025
Active Nerve Management for Below-knee Amputation: A Comparison of Approaches.
Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
10 authors.
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Abstract
Targeted muscle reinnervation and regenerative peripheral nerve interface (RPNI) are well-described techniques used to treat or prevent postamputation neuroma and phantom limb pain after below-knee amputation (BKA). These techniques can be performed via a posterior approach (PA) or a through-the-wound approach (TTWA). We performed a review of patients who underwent active nerve management at the time of BKA between February 2019 and May 2023. Patients were stratified into PA and TTWA cohorts. A total of 36 patients underwent active nerve management at the time of BKA-16 PA and 20 TTWA. The PA was found to take significantly longer than the TTWA, with an operative time of 251 minutes compared with 208 minutes, respectively (
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