P127. EFFECT OF LOWER EXTREMITY NERVE DECOMPRESSION IN PATIENTS WITH PAINFUL DIABETIC NEUROPATHY ON NARCOTIC USE AND ULCERATION RATES: A 10-YEAR FOLLOW-UP FROM THE PROSPECTIVE, CONTROLLED, RANDOMIZED, DOUBLE BLINDED, DNND I AND DNND II TRIALS

Shai M. Rozen, MD,Ahneesh J. Mohanty, MD,Shaida Khan, DO,Steven Vernino, MD, PhD,Linda Hynan, PhD,Javier LaFontaine, DPM,Larry Lavery, DPM

Plastic and reconstructive surgery Global open（2022）

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Abstract

METHODS: The DNND I study, a prospective, randomized, patient and rater-blinded, observation group plus same-patient sham surgery-controlled trial with 5-year follow-up, evaluated the effect of nerve decompression on pain. The DNND II study consisted of 10 year follow ups on the same cohort. Narcotic requirements were calculated in Milligrams Morphine Equivalents per day (MME/day) through standardized conversions and podiatric foot exams recorded ulcerations.

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