RecruitingNCT05008185

Regenerative Peripheral Nerve Interfaces to Treat Painful Digit and Hand Neuromas After Amputation

Regenerative Peripheral Nerve Interfaces to Treat Painful Digit and Hand Neuromas After Amputation: A Prospective Observational Trial"


Sponsor

Medstar Health Research Institute

Enrollment

80 participants

Start Date

Oct 5, 2021

Study Type

OBSERVATIONAL

Conditions

Summary

This study is being done to demonstrate the effectiveness of Regenerative Peripheral Nerve Interfaces (RPNI) surgery in treating symptomatic neuromas of the hand and digits following amputation compared to standard of care using a Prospective, Observational Trial


Eligibility

Min Age: 18 Years

Inclusion Criteria5

  • years or older
  • History of unilateral digit, multiple digit, or partial hand amputation
  • Discrete neuroma pain on clinical exam
  • Following standard of care (SOC), confirmation through a local block and/or ultrasound imaging will be performed if indicated
  • Must be seen by a hand therapist for at least 6-week trial of desensitization therapy

Exclusion Criteria5

  • Patients with previous surgical treatment for symptomatic neuromas of the digits or hand
  • Patients with other major injuries more proximal in the ipsilateral extremity that cause chronic pain or functional loss
  • women pregnant at time of enrollment
  • prisoners
  • adults who are unable to consent

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Interventions

PROCEDURERegenerative Peripheral Nerve Interface (RPNI) surgery

Surgeons will perform neuroma resection and RPNI creation using a free muscle graft from the brachioradialis muscle harvested through a small separate incision

PROCEDURETraction Neurectomy

Surgeons will perform neuroma resection and traction neurectomy,


Locations(2)

The Curtis National Hand Center at Medstar Union Memorial Hospital

Baltimore, Maryland, United States

University of Michigan Plastic Surgery

Ann Arbor, Michigan, United States

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NCT05008185


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