The Journal of bone and joint surgery. American volume
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J Bone Joint Surg Am · Oct 2011
Review Comparative StudyCurrent and innovative pain management techniques in total knee arthroplasty.
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J Bone Joint Surg Am · Oct 2011
ReviewTherapy-resistant complex regional pain syndrome type I: to amputate or not?
Amputation for the treatment of long-standing, therapy-resistant complex regional pain syndrome type I (CRPS-I) is controversial. An evidence-based decision regarding whether or not to amputate is not possible on the basis of current guidelines. The aim of the current study was to systematically review the literature and summarize the beneficial and adverse effects of an amputation for the treatment of long-standing, therapy-resistant CRPS-I. ⋯ The previously published studies regarding CRPS-I as a reason for amputation all represent Level-IV evidence, and they do not clearly delineate the beneficial and adverse affects of an amputation performed for this diagnosis. Whether to amputate or not in order to treat long-standing, therapy-resistant CRPS-I remains an unanswered question.