Aktuelles aus Diagnostik und Therapie der operativen Neurombehandlung

Zusammenfassung

Symptomatische Neurome der oberen und unteren Extremität stellen nach Verletzung peripherer Nerven sowohl im Alltag wie auch im beruflichen Umfeld eine starke Beeinträchtigung für die Betroffenen dar. Klassische Herangehensweisen wie Neuromexzision oder auch konservative Therapieansätze standen bislang im Vordergrund. In den letzten Jahren konnte die periphere Nervenchirurgie jedoch durch Behandlungsoptionen wie Nervenrekonstruktionen mittels Allo-/Autograft, End-zu-Seit Neurorrhaphien, TMR (=Targeted Muscle Reinnerveration)-Operationen oder RPNI (=Regenerative Peripheral Nerve Interface)-Eingriffen in der Neuromtherapie erweitert werden (1).

Abstract

Symptomatic neuromas of the upper and lower extremities present significant challenges for affected individuals in both daily life and professional environments following peripheral nerve injuries. Traditional approaches, such as neuroma excision or conservative therapy methods, have so far predominated. In recent years, however, peripheral nerve surgery has expanded the therapeutic spectrum for neuroma treatment through approaches such as nerve reconstruction with allo-/autografts, end-to-side neurorrhaphy, targeted muscle reinnervation (TMR) surgery, and regenerative peripheral nerve interface (RPNI) procedures (1).

Schlüsselwörter

Chirurgie der peripheren Nerven - Neuromtherapie - Schmerz - Pathologie - Nervenrekonstruktion - Handchirurgie

Keywords

Amputation - Targeted Muscle Reinnervation - Neurotisation - Grundlagen des Neuroms

Publication History

Received: 28 July 2024

Accepted: 15 July 2025

Article published online:
17 September 2025

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