title: Targeted muscle reinnervation of a muscle-free flap for improved prosthetic control in a shoulder amputee: case report.
abstract: We report a case of targeted muscle reinnervation of a muscle free flap for improved prosthetic control in a patient who had an amputation of the left upper extremity at the level of the shoulder after a severe electrical burn. The reinnervated muscle free flap receives signals from the brachial plexus, and these signals are amplified to provide an interface for a myoelectric prosthesis. This allows for more coordinated and efficient control of the artificial limb.
authors.affiliation: Institute for Plastic and Reconstructive Surgery, Southern Illinois University School of Medicine, Springfield, IL, USA. rbueno@siumed.edu
authors.forename: Reuben A
authors.initials: RA
authors.lastname: Bueno
authors.forename: Brooke
authors.initials: B
authors.lastname: French
authors.forename: Damon
authors.initials: D
authors.lastname: Cooney
authors.forename: Michael W
authors.initials: MW
authors.lastname: Neumeister
mesh_terms: D000671:Amputation, Surgical / Q000379:methods; D001134:Arm Injuries / Q000209:etiology / Q000601:surgery*; D001186:Artificial Limbs; D002056:Burns / Q000150:complications / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000294:innervation / Q000637:transplantation; D011474:Prosthesis Design; D017755:Prosthesis Fitting; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D012782:Shoulder; D013524:Surgical Flaps / Q000098:blood supply / Q000294:innervation*; D013997:Time Factors; D016896:Treatment Outcome