title: Nerve Transfer With Entubulated Nerve Allograft Transfers to Treat Recalcitrant Lower Extremity Neuromas.
abstract: Neuroma formation in the lower extremity can be debilitating to patients, especially when the neuromas are recurrent. The results of an advanced nerve reconstruction technique consisting of nerve transfer combined with nerve allograft and entubulation was evaluated in 4 patients with severe, debilitating, lower extremity neuromas. At a mean follow-up period of 26 months, the mean visual analog scale had improved from 9.5 preoperatively to 1.25 postoperatively (p < .05). These data suggest that techniques using a nerve allograft with a nerve conduit could be of great assistance in successfully managing debilitating neuromas of the lower extremity. Thus, further in-depth evaluation of these techniques is warranted.
authors.affiliation: Chief, Foot & Ankle Orthoplastics, Microsurgery & Limb Salvage; Attending Staff, Musculoskeletal Infection Service, Rubin Institute for Advanced Orthopaedics/International Center for Limb Lengthening, Sinai Hospital of Baltimore, Baltimore, MD. Electronic address: drchrisbibbo@gmail.com.
authors.forename: Christopher
authors.initials: C
authors.lastname: Bibbo
authors.affiliation: Director, Lower Extremity Deformity Correction Center & Microsurgical Limb Reconstruction Travelling Fellowship Program, Presence St. Joseph Hospital/Saint Anthony Hospital, Chicago, IL.
authors.forename: Edgardo
authors.initials: E
authors.lastname: Rodriguez-Colazzo
mesh_terms: D000328:Adult; D000368:Aged; D064591:Allografts / Q000637:transplantation; D000714:Anastomosis, Surgical; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D035002:Lower Extremity / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016067:Nerve Transfer / Q000379:methods*; D009463:Neuroma / Q000175:diagnosis / Q000523:psychology / Q000601:surgery*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000503:physiopathology; D010524:Peripheral Nervous System Neoplasms / Q000175:diagnosis / Q000523:psychology / Q000601:surgery*; D011788:Quality of Life; D018570:Risk Assessment; D012494:Sampling Studies; D014184:Transplantation, Homologous / Q000379:methods*; D016896:Treatment Outcome
keywords: allograft; conduit; neuroma; transfer