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Regenerative Peripheral Nerve Interface: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain

Regenerative Peripheral Nerve Interface: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain

Published on: March 15, 2024

Lower limb amputations in Trondheim, Norway.

Eivind Witsø¹, Arne Lium, Stian Lydersen

¹Department of Orthopaedic Surgery, St. Olav's University Hospital, Norway. eivind.witso@stolav.no

Acta Orthopaedica

|September 24, 2010

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A diabetic foot team in Trondheim reduced lower-limb amputations (LLAs) by improving care for diabetic foot complications. This initiative led to a significant decrease in diabetic LLAs over a decade.

Area of Science:

Vascular Surgery
Diabetology
Public Health

Background:

Diabetic lower-limb amputations (LLAs) represented one-third of all LLAs in Trondheim.
A dedicated diabetic foot team was established in 1996 to address this high rate.

Purpose of the Study:

To evaluate the incidence of LLAs in Trondheim 10 years after the establishment of a diabetic foot team.
To assess the impact of the diabetic foot team on reducing diabetic-related lower-limb amputations.

Main Methods:

Retrospective analysis of LLAs performed in Trondheim during 2004-2007, compared to 1994-1997 data.
Registration of diabetic foot team activities (1996-2006) and vascular procedures (1998-2006).

Main Results:

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Regenerative Peripheral Nerve Interface: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain

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Published on: March 15, 2024

A decrease in non-traumatic LLAs was observed between the two 3-year periods.

The incidence of diabetic major LLAs per 10³ diabetics per year decreased from 4.0 to 2.4.

LLAs in patients with peripheral vascular disease decreased from 18 to 12 per 10⁵ inhabitants per year.

Conclusions:

A reduction in vascular obstructive lower-limb disease was noted in Trondheim.
The decline in diabetic LLAs is attributed to improved diabetic foot care and management.