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Updated: Jan 29, 2026

Author Spotlight: Advancements and Challenges in Surgical Treatments for Postamputation Pain
Published on: March 8, 2024
Targeted Muscle Reinnervation for Prosthesis Optimization and Neuroma Management in the Setting of Transradial
Sarah N Pierrie1, R Glenn Gaston2, Bryan J Loeffler2
1Department of Orthopaedics, San Antonio Military Medical Center, Ft. Sam Houston, TX.
Abstract:
Targeted muscle reinnervation (TMR) is a surgical technique that improves modern myoelectric prosthesis functionality and plays an important role in the prevention and treatment of painful postamputation neuromas. Originally described for transhumeral amputations and shoulder disarticulations, the technique is being adapted for treatment of transtibial, transfemoral, transradial, and partial hand amputees. We describe a new technique for forearm TMR following transradial amputation with an emphasis on selecting nerve transfer patterns, managing sensory nerves, improving terminal soft tissue coverage, and employing pattern recognition technology.
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