Targeted Reinnervation as a Means to Treat Neuromas Associated With Major Limb Amputation
NCT02205385 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 27
Last updated 2018-01-03
Summary
Subjects are being asked to participate in this study because they have an arm or leg amputation and have developed pain related to a neuroma (an ongoing localized pain related to a cut nerve ending).
We are studying two different types of surgery to treat the neuroma pain. Today there are many surgical options reported which often means that there is no one best treatment. The surgery that shows the best success so far, involves cutting out the scarred nerve ending (neuroma) and burying the freshly cut nerve ending in a nearby muscle. Recently, a new surgery has been developed called targeted reinnervation (TR). This surgery connects these cut nerve endings to nerves going into nearby nonfunctional muscles. This surgery was developed to allow amputees to have better prosthesis control. By chance, neuroma pain improved significantly with TR. We, therefore, are conducting this clinical trial to evaluate which of these two surgeries best treats neuroma pain. We will ask all participants to fill out a questionnaire both before and after surgery. This will help us understand how a neuroma affects the quality of life of amputees and will allow us to understand which surgery leads to the best improvement in neuroma pain.
In order to confirm the presence and location of the neuroma before surgery, a magnetic resonance image (MRI) will be performed. Taking these pictures requires subjects to lie still for a short period of time but does not involve any invasive procedures. After surgery, the MRI will be done again, this time to see if the nerve shows signs of scarring.
Conditions
- Neuroma
- Neuroma Amputation
- Pain
Interventions
- PROCEDURE
-
Targeted Muscle Reinnervation
- PROCEDURE
-
Traction Neurectomy
Sponsors & Collaborators
-
United States Department of Defense
collaborator FED - lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2014-10-31
- Primary Completion
- 2018-01-01
- Completion
- 2018-01-01
Countries
- United States
Study Locations
More Related Trials
-
The Effect of Pre-operative Electrical Stimulation on Peripheral Nerve Regeneration.
NCT03205124 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Peripheral Nerve Responses to Focal Vibration and Implications in Pain and Mobility for Patients With Diabetic Peripheral Neuropathy
NCT05041816 ·Status: WITHDRAWN ·Phase: NA
-
Study of Nerve Injuries and Physical Exercise
NCT06846788 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
PDN Post Market, Multicenter, Prospective, Global Clinical Study
NCT05301816 ·Status: RECRUITING ·Phase: NA
-
Muscle and Bone in Patients with Diabetes Mellitus and Neuropathy
NCT06519942 ·Status: RECRUITING
-
Optimization of Peripheral Nerve Reconstruction: A Non-inferiority Trial
NCT01573650 ·Status: COMPLETED
-
A Novel Non-Pharmacological Treatment of Diabetic Neuropathy
NCT05414968 ·Status: UNKNOWN ·Phase: NA
-
Study on the Role of Decompression of Lower Extremity Nerves for the Treatment of Patients With Symptomatic Diabetic Neuropathy With Chronic Nerve Compression
NCT00703209 ·Status: COMPLETED ·Phase: NA
-
Sensorimotor Training for Adults With Diabetic Peripheral Neuropathy
NCT05262946 ·Status: COMPLETED ·Phase: NA
-
Cast Or ePineural Suture for Digital Nerve Injuries - a Randomised Controlled Study
NCT05536609 ·Status: RECRUITING ·Phase: NA
-
The Peripheral Mobilized Mononuclear Cell-based Therapy in Patient With Diabetic Neuropathy
NCT02315235 ·Status: WITHDRAWN ·Phase: NA
-
Pain In Neuropathy Study
NCT02672059 ·Status: UNKNOWN
-
Motor Learning in Gait in Subjects With Diabetic Peripheral Neuropathy
NCT00223782 ·Status: COMPLETED ·Phase: NA
-
Resistance Training in Patients With Diabetic Neuropathy
NCT03252132 ·Status: COMPLETED ·Phase: NA
-
Surgical Decompression for Diabetic Neuropathy in the Foot
NCT01006915 ·Status: COMPLETED ·Phase: NA
-
Improving Autonomic Function and Balance in Diabetic Neuropathy
NCT01864460 ·Status: COMPLETED ·Phase: NA
-
Innovative Multi-Variable Biofeedback for Improving Gait Performance in Individuals With Diabetic Peripheral Neuropathy
NCT06591780 ·Status: RECRUITING ·Phase: NA
-
A Sympathetic Ganglion, High-voltage Pulsed Radiofrequency Ablation of Peripheral Neuralgia
NCT05831059 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Neurofeedback for the Management of Neuropathic Pain in People with Diabetes
NCT06603792 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Chronic Neuropathic Pain After Nerve Repair Hand Surgery
NCT03174665 ·Status: UNKNOWN
-
Pathology of Skin, Nerve and Vasculature in the Amputated Limb of Diabetes
NCT00840164 ·Status: UNKNOWN
-
Spinal Cord Stimulation and Small Fiber Peripheral Neuropathy
NCT06287736 ·Status: RECRUITING ·Phase: NA
-
Comparative Effectiveness Of Low Extra-Corporeal Shock Wave Versus Acetylcholine Iontophoresis On Type2 Diabetic Neuropathy
NCT06482021 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Exercise-facilitated Neurorehabilitation in Diabetic Neuropathy
NCT00955201 ·Status: COMPLETED ·Phase: NA
-
Comparing the Ultrasound Appearance of the Sciatic Nerve With Its Appearance Under a Microscope
NCT02384447 ·Status: WITHDRAWN