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Surgical treatment of peripheral neuropathy
VALDIVIA JMV; DELLON AL; WEINAND ME; MALONEY CT
J AM PODIATR MED ASSOC , 2005, vol. 95, n° 5, p. 451-454 Doc n°: 122520 Localisation : Documentation IRR Descripteurs : AC23 - TRONCS et ou BRANCHES PERIPHERIQUES - PATHOLOGIE DU SNP Since 1992 it has been reported that patients with diabetes mellitus recover sensibility and obtain relief of pain from neuropathy symptoms by decompression of lower-extremity peripheral nerves. None of these reports included a series with more than 36 diabetic patients with lower-extremity nerves decompressed, and only recently has a single report appeared of the results of this approach in patients with nondiabetic neuropathy. No previous report has described a change in balance related to restoration of sensibility. A prospective study was conducted of 100 consecutive patients (60 with diabetes and 40 with idiopathic neuropathy) operated on by a single surgeon, other than the originator of this approach, and with the postoperative results reviewed by someone other than these two surgeons. Each patient had neurolysis of the peroneal nerve at the knee and the dorsum of the foot, and the tibial nerve released in the four medial ankle tunnels. After at least Langue : ANGLAIS |
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