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

Comparison Between Digital Nerve Microanastomosis and Traction Neurectomy in Post-Digital Amputation Pain: A Prospective Study

Status

Not yet recruiting

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT07102654

Enrollment

Registered

2025-08-05

Start date

2025-12-01

Completion date

2026-07-01

Last updated

2025-09-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

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

Keywords

microanastomosis, traction neurectomy, digital amputation, digital nerve

Brief summary

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.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

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

Design outcomes

Primary

Measure	Time frame	Description
Postoperative Pain Measured by Visual Analog Scale in Adult Patients Following Digital Amputation	1 week, 4 weeks and 6 months	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).
Postoperative Symptoms Measured by the Disabilities of the Arm, Shoulder and Hand Questionnaire in Adult Patients Following Digital Amputation	6 months	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)

Secondary

Measure	Time frame	Description
Complication Rate of Microanastomosis of Digital Nerves and Traction Neurectomy in Adult Patients Following Digital Amputation	1 week, 4 weeks, 6 months	The tertiary objective of this study is to determine the incidence of postoperative complications for both microanastomosis of digital nerves and traction neurectomy.

Outcome results