Targeted Muscle Reinnervation for Transradial Amputation: Description of Operative Technique.
Targeted muscle reinnervation (TMR) is a revolutionary surgical technique that, together with advances in upper extremity prostheses and advanced neuromuscular pattern recognition, allows intuitive and coordinated control in multiple planes of motion for shoulder disarticulation and transhumeral amputees. TMR also may provide improvement in neuroma-related pain and may represent an opportunity for sensory reinnervation as advances in prostheses and haptic feedback progress. Although most commonly utilized following shoulder disarticulation and transhumeral amputations, TMR techniques also represent an exciting opportunity for improvement in integrated prosthesis control and neuroma-related pain improvement in patients with transradial amputations. As there are no detailed descriptions of this technique in the literature to date, we provide our surgical technique for TMR in transradial amputations.
*Department of Orthopaedic Surgery, Landstuhl Regional Medical Center, Landstuhl, Germany †Department of Surgery, Walter Reed National Military Medical Center, Uniformed Services University of Health Sciences, Bethesda, MD.
Emily N
EN
Morgan
Benjamin
B
Kyle Potter
Jason M
JM
Souza
Scott M
SM
Tintle
George P
GP
Nanos
D000671:Amputation, Surgical; D000673:Amputation, Traumatic / Q000601:surgery*; D005542:Forearm / Q000294:innervation*; D006801:Humans; D018482:Muscle, Skeletal / Q000294:innervation*; D016067:Nerve Transfer / Q000379:methods*; D018579:Patient Selection; D011884:Radius / Q000601:surgery