Traditional Neuroma Management.

Hand Clin · Aug 2021 · Review

Starr BW, Chung KC

Section of Plastic Surgery, The University of Michigan Health System, 1500 East Medical Center Drive

Hand & Upper Extremity

SUMMARY — THE REDUCTIONThis review argues that traditional 'passive' neuroma techniques (transposition/coverage) still yield good outcomes and remain valuable options alongside newer methods like RPNI and TMR.
Abstract, as published

With the development of newer techniques for symptomatic neuroma treatment, such as regenerative peripheral nerve interface and targeted muscle reinnervation, transposition and coverage techniques often have been referred to as "passive techniques." In spite of its negative connotation, these passive techniques yield positive results in a majority of patients treated. The experienced surgeon has more options than ever before in the prevention and management of problematic neuromas. Critical appraisal of the current literature reveals no single, optimal standard of care. Instead, surgeons have a plethora of useful techniques that can be implemented on a case-by-case basis to optimize outcomes.

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