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Arterialized Posterior Interosseous Nerve Graft for Digital Neuroma

Foo, Anthony MBBS (London), FAMS (Hand Surgery)*; Martin-Playa, Patricia MD; Sebastin Muttath, Sandeep J. MBBS (PSG Inst of Med Sc & Research), MMed (Surgery)

Techniques in Hand & Upper Extremity Surgery: December 2019 - Volume 23 - Issue 4 - p 152–154
doi: 10.1097/BTH.0000000000000240

Painful neuromas are not uncommon following nerve injury, and are especially bothersome in the hand, with severe cases resulting in significant disability. Outcomes of neuroma surgery are unpredictable regardless of technique. It is recognized that optimal soft tissue environment influences nerve healing more than the specific nerve graft technique, and it is in this context, we present a novel technique of transferring a posterior interosseous nerve graft along with vascularized synovial and fat tissue based on a branch of the posterior interosseous artery to provide healthy soft tissue for nerve healing of neuroma in continuity about the hand and digits.

*Orthopaedic Centre, Raffles Hospital

Hand and Reconstructive Microsurgery Department, National University Hospital, Singapore

The authors of the manuscript declare having no disclosure of funding received for this work from National Institutes of Health (NIH), Wellcome Trust, Howard Hughes Medical Institute (HHMI), or any other organization.

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Anthony Foo, MBBS (London), FAMS (Hand Surgery), Orthopaedic Centre, Level 12, Raffles Specialist Centre, 585 North Bridge Road, Singapore 188770. E-mail:

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