{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T09:55:06Z","timestamp":1782554106856,"version":"3.54.5"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,3,8]],"date-time":"2022-03-08T00:00:00Z","timestamp":1646697600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Persistent, disabling lower extremity pain, outside the distribution of a single nerve, is termed chronic regional pain syndrome (CRPS), but, in reality, this chronic pain is often due to multiple peripheral nerve injuries. It is the purpose of this report to describe the first application of the \u201ctraditional,\u201d nerve implantation into muscle, usually used in the treatment of a painful neuroma, as a pre\u2010emptive surgical technique in doing a below knee amputation (BKA). In 2011, a 51\u2010year\u2010old woman developed severe, disabling CRPS, after a series of operations to treat an enchondroma of the left fifth metatarsal. When appropriate peripheral nerve surgeries failed to relieve distal pain, a BKA was elected. The approach to the BKA included implantation of each transected peripheral nerve directly into an adjacent muscle. At 5.0\u2009years after the patient's BKA, the woman reported full use of this extremity, using the prosthesis, and was free of phantom limb and residual limb pain. This anecdotal experience gives insight that long\u2010term relief of lower extremity CRPS can be achieved by a traditional BKA utilizing the approach of implanting each transected nerve into an adjacent muscle.<\/jats:p>","DOI":"10.1002\/micr.30874","type":"journal-article","created":{"date-parts":[[2022,3,8]],"date-time":"2022-03-08T15:16:09Z","timestamp":1646752569000},"page":"500-503","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Complex regional pain syndrome patient treated with a below knee amputation, implanting nerves directly into muscle: A case report"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6765-2685","authenticated-orcid":false,"given":"A. Lee","family":"Dellon","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery Johns Hopkins University  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zuhaib","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Institute for Advanced Reconstruction  Shrewsbury New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric H.","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Johns Hopkins University  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,8]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920100323"},{"key":"e_1_2_6_3_1","first-page":"207","volume-title":"Pain solutions","author":"Dellon A. 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L.","year":"2009","journal-title":"Journal of Brachial Plexus and Peripheral Nerve Injury"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2009.08.003"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30575"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/107110079801900506"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.7547\/0950108"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-198401000-00006"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e31819b6c9c"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003088"},{"key":"e_1_2_6_13_1","first-page":"121","article-title":"Post\u2010amputation pain: Epidemiology, mechanisms, and treatment","volume":"6","author":"Hsu E.","year":"2013","journal-title":"Journal of Pain Research"},{"key":"e_1_2_6_14_1","first-page":"388","article-title":"Saphenous nerve as a source of tarsal tunnel incisional pain","volume":"17","author":"Kim J.","year":"2001","journal-title":"Journal of Reconstructive Microsurgery"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000005922"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198509000-00001"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199904000-00005"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30653"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(01)80009-0"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30874","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/micr.30874","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30874","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T00:26:01Z","timestamp":1692836761000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.30874"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,8]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["10.1002\/micr.30874"],"URL":"https:\/\/doi.org\/10.1002\/micr.30874","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,8]]},"assertion":[{"value":"2020-12-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}