ArticleZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery2026
[Targeted muscle reinnervation for treatment of painful stump neuroma].
Article in Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery, 2026. 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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Abstract
Objective: To investigate the effectiveness of incorporating small gap anastomosis (SGA) and epineurial sheath tube (EST) sleeve coaptation into conventional targeted muscle reinnervation (TMR) for the treatment of post-amputation painful stump neuroma (PSN), and to compare the outcomes between different types of nerves undergoing coaptation, namely sensory nerves and mixed nerves. Methods: The clinical data of 30 patients with PSN who underwent TMR combined with SGA and EST sleeve coaptation between January 2020 and January 2025 were retrospectively analyzed. According to the type of nerve undergoing coaptation, the patients were divided into a sensory nerve coaptation group (group A, 13 cases) and a mixed nerve coaptation group (group B, 17 cases). There was no significant difference between the two groups in age, gender, amputation site, cause of amputation, or preoperative visual analogue scale (VAS) pain score ( Results: All patients in both groups were followed up, the follow-up time was (11.38±1.34) months in group A and (11.71±1.60) months in group B, with no significant difference between the two groups ( Conclusion: TMR combined with SGA and EST sleeve coaptation can relieve pain to some extent in the treatment of post-amputation PSN. TMR targeting sensory nerves may show a trend toward better pain control; however, further validation is still required.
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