Health Condition 1: M958- Other specified acquired deformities of musculoskeletal system Health Condition 2: S781- Traumatic amputation at level between hip and knee
Conditions
Interventions
Intervention1: Targeted Muscle Reinnervation: Targeted muscle reinnervation
will be done at the time of index amputation. Patients with undergo above knee amputation following which targeted muscle re
Sponsors
AIIMS , New Delhi
Eligibility
Inclusion criteria
Inclusion criteria: All patients undergoing above knee amputation Hemodynamically stable patients
Exclusion criteria
Exclusion criteria: Patients who do not consent for the study Proximal injury to the sciatic nerve, quadriplegia and paraplegia Patients with severe or moderate head injury, unable to follow directions and comply with treatment Patients who needs ventilator support for more than 48-72 hours Pregnant females Known psychiatry illness Post Randomization exclusion: Patient who requires stump revision or debridement after TMR will be excluded Death of patient Patients wishing to drop from the study at any point of time
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the residual limb pain (RLP) by using pain scores which includes Numerical rating scale (NRS) between the targeted muscle reinnervation group (Intervention group) and conventional group in patients with above knee amputation. Timepoint: 48-72hrs, 2weeks, 4 weeks, 8 weeks, 12 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the phantom limb pain(PLP) by using Numerical rating scaleTimepoint: 48-72hrs, 2weeks, 4 weeks, 8weeks, 12 weeks;To assess the incidence of RLP and PLPTimepoint: 48-72hrs, 2weeks, 4 weeks, 8 weeks, 12 weeks;Neuroma formation using high frequency ultrasoundTimepoint: 12 weeks;Difference in pain scores like NRS, McGill, HADS, PROMISTimepoint: 48-72hrs, 2weeks, 4 weeks, 8 weeks, 12 weeks | — |
Countries
India
Contacts
Public ContactDr Abhinav Kumar
JPNATC, AIIMS, New Delhi
Outcome results
None listed