Abstract
Surgical Neurectomy of peripheral nerves may be performed under rare cases in which chronic lower extremity pain has not responded to other treatments. Neuromas, being a disorganized proliferation of nerve fascicles, are a potential complication encountered in surgical neurectomies (Figure 1). After the development of a stump neuroma, these patients may benefit from a repair with nerve allograft in a nerve to no end technique. Nerve wraps are used to cover the native nerve and graft in order to minimize the recurrence of a painful stump neuroma.
Highlights
Surgical Neurectomy of peripheral nerves may be performed under rare cases in which chronic lower extremity pain has not responded to other treatments
After the development of a stump neuroma, these patients may benefit from a repair with nerve allograft in a nerve to no end technique
Nerve wraps are used to cover the native nerve and graft in order to minimize the recurrence of a painful stump neuroma
Summary
Repair of Stump Neuroma Using AxoGuard® Nerve Protector and Avance® Nerve Graft in the Lower Extremity. Surgical Neurectomy of peripheral nerves may be performed under rare cases in which chronic lower extremity pain has not responded to other treatments. After the development of a stump neuroma, these patients may benefit from a repair with nerve allograft in a nerve to no end technique. Nerve wraps are used to cover the native nerve and graft in order to minimize the recurrence of a painful stump neuroma. AxoGuard® Nerve Protector is a commonly used as a peripheral nerve wrap (Figure 2) that can benefit in the treatment of stump neuromas. Avance® Nerve Graft is an allograft tissue that provides an option for peripheral nerve reconstruction of the lower extremities (Figure 3). The Avance nerve graft provides an epineurium to suture the graft in place, and endoneurial tubes to provide an environment for axonal growth
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