Treatment of Upper and Lower Extremity Neuromas by End-to-Side Neurorrhaphy

The successful treatment of painful neuroma remains a difficult goal to obtain. In this report, the authors reviewed the experimental evidence for neuroma prevention by inserting the proximal end of a nerve through an end-to-side neurorrhaphy into an adjacent mixed nerve to provide a pathway and target for axons deprived of their end organ. They also presented their first clinical series of patients with a follow-up of 28 months.