Targeted Muscle Reinnervation in the Upper Extremity Amputee: A Technical Roadmap

Michael S Gart; Jason M Souza; Gregory A Dumanian

doi:10.1016/j.jhsa.2015.06.119

Targeted Muscle Reinnervation in the Upper Extremity Amputee: A Technical Roadmap

J Hand Surg Am. 2015 Sep;40(9):1877-88. doi: 10.1016/j.jhsa.2015.06.119.

Authors

Michael S Gart¹, Jason M Souza¹, Gregory A Dumanian²

Affiliations

¹ Department of Surgery, Division of Plastic and Reconstructive Surgery, Northwestern Memorial Hospital, Chicago, IL.
² Department of Surgery, Division of Plastic and Reconstructive Surgery, Northwestern Memorial Hospital, Chicago, IL. Electronic address: GDumania@nmh.org.

PMID: 26314220
DOI: 10.1016/j.jhsa.2015.06.119

Abstract

Targeted muscle reinnervation (TMR) offers the potential for improved prosthetic function by reclaiming the neural control information that is lost as a result of upper extremity amputation. In addition to the prosthetic control benefits, TMR is a potential treatment for postamputation neuroma pain. Here, we present our surgical technique for TMR nerve transfers in transhumeral and shoulder disarticulation patients.

Keywords: Myoelectric; neuroma; neurotization; prosthesis; targeted muscle reinnervation.

Publication types

Review

MeSH terms

Amputation Stumps / innervation*
Amputation, Surgical / rehabilitation*
Humans
Muscle, Skeletal / innervation*
Muscle, Skeletal / surgery*
Nerve Transfer / methods*
Upper Extremity / innervation*
Upper Extremity / surgery*