Prophylaktische Plexuskatheterbehandlung bei operativen Eingriffen nach Komplexem Regionalen Schmerzsyndrom (CRPS)

Translated title of the contribution: Prophylactic plexus catheter treatment in operations following complex regional pain syndrome (CRPS)

Florian Neubrech, Roderick Franciscus Pronk, Amir Khosrow Bigdeli, Christian Tapking, Ulrich Kneser, Leila Harhaus

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Background This paper investigates and discusses the effect of perioperative plexus catheter treatment in former CRPS patients. Patients and Methods A retrospective matched-pair analysis was conducted on 10 CRPS patients with comparable injuries, who underwent surgery in the disease-free interval. In 10 cases, the procedure was performed with perioperative plexus catheter treatment (intervention group), whereas 10 patients did not receive perioperative plexus catheter treatment (control group). Results In the intervention group, after a follow-up time of 105 (20-184) days after the last surgical procedure, pain intensity on the visual analogue scale (VAS; 0 to 10) was 6.4 (4-8), fingertip-to-palm distance averaged 3.2 (0-7.6) cm, active range of wrist motion was 47.5 (0-95), and grip strength was 9.2 (2.1-16.6) kg. In the control group, after a follow-up time of 129 (19-410) days since the last surgical procedure, pain intensity on the visual analogue scale was 6 (3-10), fingertip-to-palm distance averaged 2.7 (0-4.5) cm, active range of wrist-motion was 64 (0-125), and grip strength was 12.4 (0.8-23.8) kg. There was no significant difference between the groups. There was no recurrence of CRPS disease in either group after surgery. Conclusion There is no evidence so far for perioperative plexus catheter treatment to prevent recurrence in former CRPS patients.

Translated title of the contributionProphylactic plexus catheter treatment in operations following complex regional pain syndrome (CRPS)
Original languageGerman
Pages (from-to)169-174
Number of pages6
JournalHandchirurgie Mikrochirurgie Plastische Chirurgie
Volume49
Issue number3
DOIs
StatePublished - Aug 1 2017
Externally publishedYes

Keywords

  • anaesthesia
  • complex regional pain syndrome
  • CRPS
  • plexus catheter treatment

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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