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.
Résumé
Rapporter l’analyse de 75 patients amputés du membre inférieur qui ont développé des névromes douloureux, nécessitant une ablation chirurgicale, après une amputation causée par explosions de mines. cette étude rétrospective analyse les résultats de 75 patients opérés pour névromes douloureux après amputation du membre inférieur causé par explosions de mines entre 2000 et 2006. l’intervalle moyen entre le début du port d’une prothèse et le début des symptômes évoquant l’apparition d’un névrome est de 9,6 mois. L’intervalle de temps moyen entre le début des symptômes et la chirurgie d’ablation du névrome est de 7,8 mois. Tous les névromes démontrés chirurgicalement ont été réséqués. Sur la période de suivi moyen de 2,8 ans tous les patients ont été satisfaits du résultat final et n’avaient plus aucune douleur. les moignons douloureux avec des signes cliniques de névrome sont à considérer comme des névromes authentiques sans nécessité d’imagerie complémentaire et peuvent être traités chirurgicalement si les traitements conservateurs ne sont pas efficaces.
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Sehirlioglu, A., Ozturk, C., Yazicioglu, K. et al. Painful neuroma requiring surgical excision after lower limb amputation caused by landmine explosions. International Orthopaedics (SICOT) 33, 533–536 (2009). https://doi.org/10.1007/s00264-007-0466-y
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DOI: https://doi.org/10.1007/s00264-007-0466-y