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Related Concept Videos

Local Anesthetics: Differential Sensitivity of Nerve Fibers01:24

Local Anesthetics: Differential Sensitivity of Nerve Fibers

Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...

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Fabrication of the Composite Regenerative Peripheral Nerve Interface C-RPNI in the Adult Rat
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Nerve Capping Using Renerve® Synthetic Collagen Conduits for Hand Amputation Neuroma Pain.

Shinsuke Takeda1,2, Shigeru Kurimoto3, Ryutaro Shibata1

  • 1Department of Orthopaedic Surgery, Nagoya City University Graduate School of Medical Science, Nagoya, Japan.

The Journal of Hand Surgery Asian-Pacific Volume
|January 8, 2025
PubMed
Summary

The Renerve® nerve conduit effectively reduced pain in patients with amputation neuromas. This study highlights its clinical usefulness for nerve capping, offering valuable real-world data for practitioners.

Keywords:
Absorbable implantsAmputation neuromaNerve cappingPeripheral nerve injuriesRenerve® conduits

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Area of Science:

  • Peripheral nerve surgery
  • Regenerative medicine
  • Pain management

Background:

  • Amputation neuromas, a frequent outcome of peripheral nerve injury, can lead to debilitating pain and functional impairment.
  • Surgical intervention, such as nerve capping, is often considered for managing symptomatic neuromas.
  • The bioabsorbable nerve conduit Renerve® presents a potential solution for nerve capping.

Purpose of the Study:

  • To evaluate the clinical effectiveness of the Renerve® nerve conduit when used for nerve capping in patients with amputation neuromas.
  • To assess pain reduction and complication rates following the Renerve® nerve capping procedure.

Main Methods:

  • A retrospective study was conducted on seven patients with amputation neuromas of the finger or palm.
  • Patients underwent surgical treatment using the Renerve® conduit for nerve capping between October 2018 and September 2022.
  • Pre- and postoperative visual analogue scale (VAS) pain scores and Tinel sign were analyzed, with a minimum follow-up of 6 months.

Main Results:

  • A significant reduction in median VAS pain scores was observed, decreasing from 53.1 mm preoperatively to 5.7 mm at 6-month follow-up.
  • The median follow-up duration was 15 months, with no postoperative complications reported.
  • Tinel sign persisted in four out of seven patients post-surgery.

Conclusions:

  • The Renerve® conduit demonstrates clinical utility as a nerve-capping technique for treating amputation neuromas.
  • The findings provide valuable real-world data on the use of Renerve® conduits for nerve capping, addressing a gap in current literature.
  • This technique offers a promising option for managing neuroma pain and improving patient outcomes.