title: Painful neuroma requiring surgical excision after lower limb amputation caused by landmine explosions.
abstract: This article reports an analysis of 75 consecutive lower limb amputees who developed painful neuroma requiring surgical excision after lower limb amputation following landmine explosions. This retrospective study analyses the results of 75 patients who were treated for painful neuroma after lower limb amputation following landmine explosions between the years 2000 and 2006. The average time period from use of prosthesis to start of symptoms suggesting neuroma was 9.6 months. The average time period from start of pain symptoms to neuroma surgery was 7.8 months. All clinically proven neuromas were surgically resected. In the mean follow-up of 2.8 years, all patients were satisfied with the end results and all were free of any pain symptoms. Painful stump with clinical diagnostic findings of neuroma described above may be regarded as neuroma without requiring any further imaging modalities and is an indication for surgery if conservative measures fail.
authors.affiliation: Gulhane Military Medical Academy, Ankara, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Sehirlioglu
authors.forename: Cagatay
authors.initials: C
authors.lastname: Ozturk
authors.forename: Kamil
authors.initials: K
authors.lastname: Yazicioglu
authors.forename: Ilknur
authors.initials: I
authors.lastname: Tugcu
authors.forename: Bilge
authors.initials: B
authors.lastname: Yilmaz
authors.forename: Ahmet Salim
authors.initials: AS
authors.lastname: Goktepe
mesh_terms: D000328:Adult; D000671:Amputation, Surgical / Q000009:adverse effects* / Q000379:methods; D000672:Amputation Stumps / Q000601:surgery*; D001186:Artificial Limbs / Q000009:adverse effects; D001753:Blast Injuries / Q000175:diagnosis / Q000534:rehabilitation / Q000601:surgery*; D015331:Cohort Studies; D005107:Explosions; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D035002:Lower Extremity / Q000293:injuries / Q000601:surgery; D008297:Male; D009463:Neuroma / Q000209:etiology / Q000601:surgery*; D010146:Pain / Q000209:etiology / Q000601:surgery; D010147:Pain Measurement; D010524:Peripheral Nervous System Neoplasms / Q000175:diagnosis / Q000601:surgery*; D017755:Prosthesis Fitting / Q000009:adverse effects; D012086:Reoperation / Q000379:methods; D012189:Retrospective Studies; D018570:Risk Assessment; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult