Targeted Muscle Reinnervation and its Role in Acute Management of Above-Elbow Amputations

2017 ◽  
Vol 25 (9) ◽  
pp. 664
Author(s):  
Mark A. Tait ◽  
John W. Bracey ◽  
Bryan J. Loeffler ◽  
Raymond G. Gaston
Keyword(s):  
Acute Management ◽  
Targeted Muscle Reinnervation ◽  
Muscle Reinnervation

Revision Targeted Muscle Reinnervation Improves Secondary Pain Insult in an Upper Extremity Amputee: A Case Report

Hand ◽  
2021 ◽  
pp. 155894472199246
Author(s):  
David D. Rivedal ◽  
Meng Guo ◽  
James Sanger ◽  
Aaron Morgan
Keyword(s):  
Neuropathic Pain ◽  
Peripheral Nerves ◽  
Nerve Biopsy ◽  
Sensory Cortex ◽  
Denervated Muscle ◽  
Unique Case ◽  
Targeted Muscle Reinnervation ◽  
Muscle Reinnervation ◽  
And Function ◽  
The Brain

Targeted muscle reinnervation (TMR) has been shown to improve phantom and neuropathic pain in both the acute and chronic amputee population. Through rerouting of major peripheral nerves into a newly denervated muscle, TMR harnesses the plasticity of the brain, helping to revert the sensory cortex back toward the preinsult state, effectively reducing pain. We highlight a unique case of an above-elbow amputee for sarcoma who was initially treated with successful transhumeral TMR. Following inadvertent nerve biopsy of a TMR coaptation site, his pain returned, and he was unable to don his prosthetic. Revision of his TMR to a more proximal level was performed, providing improved pain and function of the amputated arm. This is the first report to highlight the concept of secondary neuroplasticity and successful proximal TMR revision in the setting of multiple insults to the same extremity.

Targeted Muscle Reinnervation for Prosthetic Control

Hand Clinics ◽  
2021 ◽  
Vol 37 (3) ◽  
pp. 415-424
Author(s):  
Konstantin D. Bergmeister ◽  
Stefan Salminger ◽  
Oskar C. Aszmann
Keyword(s):  
Prosthetic Control ◽  
Targeted Muscle Reinnervation ◽  
Muscle Reinnervation

scholarly journals 117 Targeted Muscle Reinnervation Successfully Treats Neuroma Pain and Phantoms in Major Limb Amputees: A Randomized Clinical Trial

Neurosurgery ◽  
2018 ◽  
Vol 65 (CN_suppl_1) ◽  
pp. 86-86 ◽  
Author(s):  
Lauren M Mioton ◽  
Gregory A Dumanian ◽  
Jennie Cheesborough ◽  
Ian Valerio
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Targeted Muscle Reinnervation ◽  
Muscle Reinnervation
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