Section of Plastic Surgery, University of Cincinnati Medical Center, 231 Albert Sabin Way, Mail Location: 0513, Cincinnati, OH 45229, USA.
Section of Plastic Surgery, The University of Michigan Health System, 1500 East Medical Center Drive, 2130 Taubman Center, SPC 5340, Ann Arbor, MI 48109-5340, USA.
Hand Clin. 2021 Aug;37(3):335-344. doi: 10.1016/j.hcl.2021.04.002.
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.
随着针对症状性神经瘤治疗的新技术(如再生周围神经界面和靶向肌肉再支配)的发展,转位和覆盖技术通常被称为“被动技术”。尽管这些被动技术带有负面含义,但在大多数接受治疗的患者中,它们都能产生积极的结果。经验丰富的外科医生在预防和处理有问题的神经瘤方面拥有比以往更多的选择。对当前文献的批判性评估表明,没有单一的、最佳的护理标准。相反,外科医生有大量有用的技术,可以根据具体情况实施,以优化结果。