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![Systematic review on the centrocentral anastomosis technique for the surgical treatment of traumatic neuromas](https://image.oaes.cc/f6732755-448f-4ee7-994c-af774553b376/par11080.fig.3.jpg)
Figure 3. Intraoperative pictures showing an example of surgical connection of the tibial and peroneal nerves with a graft for the treatment of traumatic neuroma years after an above-the-knee amputation. Intraoperative pictures showing (A) the neuroma at the end of the tibial and peroneal nerve, forceps holds the tibial part; (B) after resection of the neuroma, the tibial nerve end is marked 3 cm proximally to the freshly cut end (C) after connection of the tibial nerve end to the peroneal nerve end with two 10-0 sutures on the inner curve, the tibial nerve is transected at the marked site and directly repaired with 4x 10-0 sutures, (D) the end result after two extra 10-0 sutures have been placed at the tibial-peroneal coaptation site, and both coaptation sites have been sealed with fibrin glue (Tisseel, Baxter). This technique is slightly different from the illustration in [Figure 2], but has the advantage that the graft can be more easily handled.