Large neuromas are one of the major setbacks in limb reconstructive surgery and pose a significant challenge in terms of management techniques. The major problem is the lack of direction for the regenerating neuronal axons which proceed to form a hypersensitive ‘stump’ or neuroma, resulting in debilitating neuropathic and phantom limb pain. This image represents the steps in a fascinating novel surgical technique, recently presented at the IASPT conference, for attempting to redirect and control axonal regeneration.

p.s. these amazing illustrations are the incredible work of our medical illustrator!

A novel centro-central nerve anastomosis technique for the treatment of neuromas in amputees with osseointegration. Sunwoo J, Collett D, Lu W, Al Muderis M. IASPT conference presentation.