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1000 Titel
  • Icing the Pain–Ultrasound-Guided Cryoablation of Symptomatic Post-Amputation Stump Neuroma
1000 Autor/in
  1. von Falck, C. |
  2. Orgel, M. |
  3. Wacker, F. |
  4. Aschoff, H. H. |
  5. Krettek, C. |
  6. Ringe, Kristina |
1000 Erscheinungsjahr 2021
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2021-11-24
1000 Erschienen in
1000 Quellenangabe
  • 45(2):223-227
1000 Copyrightjahr
  • 2021
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00270-021-02998-9 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8807464/ |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Purpose!#!To assess the feasibility and outcome of ultrasound-guided cryoablation in patients with a sensitized stump neuroma after limb amputation.!##!Material and methods!#!Seven patients (3 females, 4 males; mean age 42 years) were included in this retrospective study. Ultrasound-guided cryoablation of a previously identified painful stump neuroma was performed. Pain was assessed on the visual analogue scale (VAS) and compared before and after cryoablation (Wilcoxon Test). The degree of pain alleviation was correlated with patient age, duration of pain before ablation and time interval between amputation and ablation (Spearman correlation). A p-value less than 0.05 was deemed statistically significant.!##!Results!#!Nine cryoablations were performed for 8 neuromas. Technical success was 100%, there were no major complications. Mean follow-up was 27 months. There was a statistically significant decrease of pain from mean 8.3 / 10 (baseline) to 4 /10 (on day one), 2.1 / 10 (at one week) and 3 / 10 (at last follow-up) (p < 0.05). Patient satisfaction with cryoablation treatment was very high (median score 70 / 100).!##!Conclusion!#!In our small population observational study, ultrasound-guided cryoablation of a sensitized stump neuroma was effective and safe for pain alleviation with very good long-term results.!##!Level of evidence!#!Level 2, Observational study with dramatic effect.
1000 Sacherschließung
lokal Amputation Stumps/diagnostic imaging [MeSH]
lokal Amputation Stumps/surgery [MeSH]
lokal Female [MeSH]
lokal Amputation
lokal Adult [MeSH]
lokal Humans [MeSH]
lokal Cryosurgery [MeSH]
lokal Treatment Outcome [MeSH]
lokal Retrospective Studies [MeSH]
lokal Cryoablation
lokal Ultrasound
lokal Stump neuroma
lokal Pain [MeSH]
lokal Male [MeSH]
lokal Pain
lokal Ultrasonography, Interventional [MeSH]
lokal Short Communication
lokal Non-Vascular Interventions
lokal Neuroma/diagnostic imaging [MeSH]
lokal Neuroma/surgery [MeSH]
1000 Liste der Beteiligten
  1. https://frl.publisso.de/adhoc/uri/dm9uIEZhbGNrLCBDLg==|https://frl.publisso.de/adhoc/uri/T3JnZWwsIE0u|https://frl.publisso.de/adhoc/uri/V2Fja2VyLCBGLg==|https://frl.publisso.de/adhoc/uri/QXNjaG9mZiwgSC4gSC4=|https://frl.publisso.de/adhoc/uri/S3JldHRlaywgQy4=|https://orcid.org/0000-0003-0315-135X
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1000 Erstellt am 2023-05-03T16:40:20.709+0200
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