Comparison Between Digital Nerve Microanastomosis and Traction Neurectomy in Post-Digital Amputation Pain

N/ANot Yet RecruitingNCT07102654

Centre hospitalier de l'Université de Montréal (CHUM)50 enrolled

Overview

The goal of this prospective observational study is to assess the post-operative pain in adults with digital amputation following two different surgical interventions: microanastomosis of digital nerves or traction neurectomy. The main questions it aims to answer are: * Which surgical intervention results in less post-operative pain? * Which surgical intervention leads to fewer symptoms after six months? * Which surgical intervention is associated with fewest post-operative complications? Participants will complete a Visual Analog Scale (VAS) to assess the pain and the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) to evaluate the disabilities. The researchers will assess post-operative complications during follow-up appointments.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Amputation Stump Amputation Neuroma Amputation, Traumatic/Surgery Amputation, Surgical

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age ≥ 18 years * Patients who have undergone a traumatic digital amputation * Patients treated with one of the two following techniques: microanastomosis of digital nerves or traction neurectomy * Postoperative follow-up of at least 6 months Exclusion Criteria: * Patients treated with a surgical intervention other than microanastomosis of digital nerves or traction neurectomy for digital amputation * Non-traumatic amputations (e.g., cancer or infection) * Follow-up of less than 6 months * Patients with pre-existing peripheral neuropathy

Outcomes

Primary Outcomes

Postoperative Pain Measured by Visual Analog Scale in Adult Patients Following Digital Amputation

The primary objective of this study is to compare the level of postoperative pain associated with two surgical techniques: microanastomosis of digital nerves and traction neurectomy. Pain will be measured using the visual analog scale at one week, four weeks, and six months following the procedure. The visual analog scale ranges from 0 ( no pain) to 10 (worst imaginable pain).

Time frame: 1 week, 4 weeks and 6 months

Postoperative Symptoms Measured by the Disabilities of the Arm, Shoulder and Hand Questionnaire in Adult Patients Following Digital Amputation

The secondary objective of this study is to compare the level of postoperative symptoms associated with two surgical techniques: microanastomosis of digital nerves and traction neurectomy. The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire will assess disability and hand-related symptoms at 6 months. The score ranges from 0 (no disability) to 100 (most severe disability)

Time frame: 6 months

Secondary Outcomes

Complication Rate of Microanastomosis of Digital Nerves and Traction Neurectomy in Adult Patients Following Digital Amputation

The tertiary objective of this study is to determine the incidence of postoperative complications for both microanastomosis of digital nerves and traction neurectomy.

Time frame: 1 week, 4 weeks, 6 months