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Targeted Muscle Reinnervation for Transradial Amputation: Description of Operative Technique.

Emily N Morgan1, Benjamin Kyle Potter, Jason M Souza

  • 1*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.

Techniques in Hand & Upper Extremity Surgery
|November 9, 2016
PubMed
Summary

Targeted muscle reinnervation (TMR) offers intuitive prosthetic control and pain relief for amputees. This surgical technique is detailed for transradial amputations, expanding its application beyond upper arm loss.

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Area of Science:

  • Biomedical Engineering
  • Surgical Innovation
  • Rehabilitation Medicine

Background:

  • Targeted muscle reinnervation (TMR) enhances upper extremity prosthesis control and addresses neuroma pain.
  • Current TMR applications primarily focus on shoulder disarticulation and transhumeral amputations.
  • Opportunities exist to apply TMR for transradial amputations, improving prosthesis integration and pain management.

Purpose of the Study:

  • To describe the surgical technique for targeted muscle reinnervation (TMR) in transradial amputations.
  • To provide a detailed procedural account for a technique not yet extensively documented in literature.
  • To highlight the potential benefits of TMR for transradial amputees.

Main Methods:

  • Detailed description of the surgical procedure for TMR in transradial amputations.
  • Focus on nerve rerouting and muscle reinnervation strategies.
  • Surgical technique tailored for improved prosthetic control and sensory feedback.

Main Results:

  • The study provides a comprehensive surgical technique for TMR in transradial amputations.
  • This technique aims to enable intuitive prosthetic control and manage neuroma-related pain.
  • It expands the applicability of TMR to a broader range of upper limb amputations.

Conclusions:

  • Targeted muscle reinnervation is a viable and beneficial technique for transradial amputations.
  • Detailed surgical descriptions are crucial for advancing TMR application and training.
  • TMR holds significant promise for improving functional outcomes and quality of life for amputees.