{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:54Z","timestamp":1740126834346,"version":"3.37.3"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund Im Rahmen einer Polyneuropathie klagen die Patienten oft \u00fcber\n                    Schmerzen, Kribbeln, Taubheitsgef\u00fchle und eine vermehrte Sturzneigung. Nach\n                    Aussch\u00f6pfen der konservativen Therapiema\u00dfnahmen und bei Fortbestehen der\n                    Beschwerden kann \u00fcber eine Nervendekompression an der unteren Extremit\u00e4t bei\n                    vielen Patienten eine Verbesserung der Beschwerden erreicht werden. Wir stellen\n                    hier unsere Langzeitergebnisse dieser Operationsmethode vor.<\/jats:p><jats:p>\n          Methode In die Studie wurden 33 Patienten mit einer idiopathischen oder\n                    diabetischen Polyneuropathie, bei denen eine Nervendekompression nach Dellon in\n                    den Jahren 2011\u20132013 an der unteren Extremit\u00e4t durchgef\u00fchrt wurde,\n                    eingeschlossen. Untersucht wurden bei 29 von 33 Patienten 3 Monate postoperativ\n                    das Schmerzniveau (NRS 0\u201310), Kribbelpar\u00e4sthesien, Taubheitsgef\u00fchl,\n                    Hoffman-Tinel-Zeichen und Semmes-Weinstein-Monofilament. 88 Monate postoperativ\n                    (78\u2013111 Monate) konnten wir 20 von 33 operierten Patienten anhand eines\n                    Fragebogens zum Schmerzniveau (NRS 0\u201310), zur Zufriedenheit mit dem Ergebnis\n                    (NRS 0\u201310) und zu der Frage, ob die Patienten diese Operation weiterempfehlen\n                    w\u00fcrden, befragen.<\/jats:p><jats:p>\n          Ergebnisse 1. Signifikante Schmerzreduktion 3 Monate postoperativ NRS 4,5\n                    auf 2,2 (p=0,000). 2. Signifikante Reduktion der Kribbelpar\u00e4sthesien 3 Monate\n                    postoperativ von 84,8% auf 24,2% (p=0,000) 3. Signifikante Reduktion des\n                    Taubheitsgef\u00fchls 3 Monate postoperativ von 97% auf 39% (p=0,000). 4.\n                    Signifikante Verbesserung der Oberfl\u00e4chensensibilit\u00e4t 3 Monate postoperativ von\n                    91% ohne Sensibilit\u00e4t auf 28% ohne Sensibilit\u00e4t (P=0,000). 5. Signifikante\n                    Verbesserung des positiven Hoffmann-Tinel-Zeichens 3 Monate postoperativ von 76%\n                    auf 13% (p=0,000). Nach 88 Monaten zeigte sich weiterhin eine signifikante\n                    Schmerzreduktion im Vergleich zu dem pr\u00e4operativen Wert von NRS 4,5 auf\n                    postoperativ 2,7 (p=0,048). Aufgrund der \u00fcberwiegenden Patientenzufriedenheit\n                    mit einem Wert von 3,4 (0\u201310 NRS) sowie Angabe einer deutlichen\n                    Funktionsverbesserung w\u00fcrden 65% der behandelten Patienten das Verfahren\n                    weiterempfehlen.<\/jats:p><jats:p>\n          Schlussfolgerung Die Ergebnisse zeigen, dass mit einer Dekompression nach\n                    Dellon an der unteren Extremit\u00e4t eine andauernde Schmerzreduktion und\n                    Funktionsverbesserung erzielt werden k\u00f6nnen.<\/jats:p>","DOI":"10.1055\/a-2234-9368","type":"journal-article","created":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T23:44:20Z","timestamp":1709595860000},"page":"172-179","source":"Crossref","is-referenced-by-count":0,"title":["Retrospektive Langzeitergebnisse nach einer Nervendekompression nach\n                    Dellon am Unterschenkel bei Polyneuropathie"],"prefix":"10.1055","volume":"56","author":[{"given":"Max V.","family":"Meyer-Marcotty","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische Chirurgie\/Handchirurgie, Klinikum L\u00fcdenscheid,\n                    Ludenscheid, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abduasalam","family":"Attabit","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische Chirurgie\/Handchirurgie, Klinikum L\u00fcdenscheid,\n                    Ludenscheid, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9224-5475","authenticated-orcid":false,"given":"Vincent","family":"M\u00e4rz","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische, Hand- und Wiederherstellungschirurgie, Zentrum\n                    f\u00fcr Schwerbrandverletzte, Mendizinische Hochschule Hannover, Hannover,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter M.","family":"Vogt","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische, Hand- und Wiederherstellungschirurgie, Zentrum\n                    f\u00fcr Schwerbrandverletzte, Mendizinische Hochschule Hannover, Hannover,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,3,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"466","DOI":"10.1136\/bmj.324.7335.466","article-title":"Peripheral neuropathy","volume":"324","author":"R A Hughes","year":"2002","journal-title":"BMJ"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1007\/s10654-015-0094-6","article-title":"The epidemiology and risk factors of chronic polyneuropathy","volume":"31","author":"R Hanewinckel","year":"2016","journal-title":"Eur J Epidemiol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"817","DOI":"10.1212\/wnl.43.4.817","article-title":"The prevalence by staged severity of various types of diabetic neuropathy,\n                    retinopathy, and nephropathy in a population-based cohort: the Rochester\n                    Diabetic Neuropathy Study","volume":"43","author":"P J Dyck","year":"1993","journal-title":"Neurology"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1097\/01.nrl.0000156314.24508.ed","article-title":"Diabetic neuropathies. 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