Complex regional pain syndrome patient treated with a below knee amputation, implanting nerves directly into muscle: A case report.
Publication/Presentation Date
7-1-2022
Abstract
Persistent, disabling lower extremity pain, outside the distribution of a single nerve, is termed chronic regional pain syndrome (CRPS), but, in reality, this chronic pain is often due to multiple peripheral nerve injuries. It is the purpose of this report to describe the first application of the "traditional," nerve implantation into muscle, usually used in the treatment of a painful neuroma, as a pre-emptive surgical technique in doing a below knee amputation (BKA). In 2011, a 51-year-old woman developed severe, disabling CRPS, after a series of operations to treat an enchondroma of the left fifth metatarsal. When appropriate peripheral nerve surgeries failed to relieve distal pain, a BKA was elected. The approach to the BKA included implantation of each transected peripheral nerve directly into an adjacent muscle. At 5.0 years after the patient's BKA, the woman reported full use of this extremity, using the prosthesis, and was free of phantom limb and residual limb pain. This anecdotal experience gives insight that long-term relief of lower extremity CRPS can be achieved by a traditional BKA utilizing the approach of implanting each transected nerve into an adjacent muscle.
Volume
42
Issue
5
First Page
500
Last Page
503
ISSN
1098-2752
Published In/Presented At
Dellon, A. L., Ibrahim, Z., & Williams, E. H. (2022). Complex regional pain syndrome patient treated with a below knee amputation, implanting nerves directly into muscle: A case report. Microsurgery, 42(5), 500–503. https://doi.org/10.1002/micr.30874
Disciplines
Medicine and Health Sciences
PubMedID
35262961
Department(s)
Department of Surgery
Document Type
Article