Technical Trick: Cryoneurolysis for Subacute Pain Mitigation in Patients With Limb Loss.
Journal
Journal of orthopaedic trauma
ISSN: 1531-2291
Titre abrégé: J Orthop Trauma
Pays: United States
ID NLM: 8807705
Informations de publication
Date de publication:
01 May 2024
01 May 2024
Historique:
accepted:
17
01
2024
pubmed:
22
1
2024
medline:
22
1
2024
entrez:
22
1
2024
Statut:
ppublish
Résumé
Pain after amputation is often managed by target muscle reinnervation (TMR) with the added benefit that TMR also provides improved myoelectric terminal device control. However, as TMR takes several months for the recipient muscles to reliably reinnervate, this technique does not address pain within the subacute postoperative period during which pain chronification, sensitization, and opioid dependence and misuse may occur. Cryoneurolysis, described herein, uses focused, extreme temperatures to essentially "freeze" the nerve, blocking nociception, and improving pain in treated nerves potentially reducing the chances of pain chronification, sensitization, and substance dependence or abuse.
Identifiants
pubmed: 38252476
doi: 10.1097/BOT.0000000000002777
pii: 00005131-990000000-00326
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e191-e194Informations de copyright
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors report no conflict of interest. The contents of this publication are the sole responsibility of the author(s) and do not necessarily reflect the views, opinions, or policies of Uniformed Services University of the Health Sciences (USUHS), The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., the Department of Defense (DoD) or the Departments of the Army, Navy, or Air Force. Mention of trade names, commercial products, or organizations does not imply endorsement by the US Government.
Références
Valerio IL, Dumanian GA, Jordan SW, et al. Preemptive treatment of phantom and residual limb pain with targeted muscle reinnervation at the time of major limb amputation. J Am Coll Surg. 2019;228:217–226.
Mioton LM, Dumanian GA, Shah N, et al. Targeted muscle reinnervation improves residual limb pain, phantom limb pain, and limb function: a prospective study of 33 major limb amputees. Clin Orthop Relat Res. 2020;478:2161–2167.
Dumanian GA, Potter BK, Mioton LM, et al. Targeted muscle reinnervation treats neuroma and phantom pain in major limb amputees: a randomized clinical trial. Ann Surg. 2019;270:238–246.
Radnovich R, Scott D, Patel AT, et al. Cryoneurolysis to treat the pain and symptoms of knee osteoarthritis: a multicenter, randomized, double-blind, sham-controlled trial. Osteoarthr Cartil. 2017;25:1247–1256.
Mihalko WM, Kerkhof AL, Ford MC, et al. Cryoneurolysis before total knee arthroplasty in patients with severe osteoarthritis for reduction of postoperative pain and opioid use in a single-center randomized controlled trial. J Arthroplasty. 2021;36:1590–1598.
Hill EJR, Patterson JMM, Yee A, et al. What is operative? Conceptualizing neuralgia: neuroma, compression neuropathy, painful hyperalgesia, and phantom nerve pain. J Hand Surg Glob Online. 2022;5:126–132.
Dasa V, Lensing G, Parsons M, et al. Percutaneous freezing of sensory nerves prior to total knee arthroplasty. Knee. 2016;23:523–528.
Nygaard N-PB, Koch-Jensen C, Vægter HB, et al. Cryoneurolysis for the management of chronic pain in patients with knee osteoarthritis; a double-blinded randomized controlled sham trial. BMC Musculoskelet Disord. 2021;22:228.
Eberlin KR, Brown DA, Gaston RG, et al. A consensus approach for targeted muscle reinnervation in amputees. Plastic Reconstr Surg Glob Open. 2023;11:e4928.
Agha RA, Sohrabi C, Mathew G, et al. The PROCESS 2020 guideline: updating consensus Preferred Reporting Of CasE Series in Surgery (PROCESS) guidelines. Int J Surg. 2020;84:231–235.
Rathmell JP, Forrester JD, Schreiber K. Cryoneurolysis: interest and caution. Anesthesiology. 2022;137:521–523.