• During a three-year interval, 12 multisensory peripheral nerve divisions in ten patients were performed for intractable ischemic foot pain. The two major indications, after concluding that revascularization was impossible, were (1) the presence of localized, dry, and contained acral gangrene in patients who were not candidates for a lesser amputation and (2) patient or family refusal of a limb amputation.
(Arch Surg 111:557-560, 1976)
Alpert J, Brief DK, Brener BJ, Parsonnet V. Peripheral Nerve Division for Relentless Ischemic Foot Pain. Arch Surg. 1976;111(5):557-560. doi:10.1001/archsurg.1976.01360230057011