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Related Experiment Video

Updated: Jul 3, 2025

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury
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TMR Using a Free Rectus Flap after Transhumeral Amputation.

Logan G Galbraith1, Daniel Najafali2, James R Gatherwright3

  • 1From the Northeast Ohio Medical University College of Medicine, Rootstown, Ohio.

Plastic and Reconstructive Surgery. Global Open
|February 13, 2024
PubMed
Summary
This summary is machine-generated.

Targeted muscle reinnervation (TMR) can restore limb function and reduce phantom pain after amputation. This case report details the first use of a rectus flap for TMR in a patient with a severe upper extremity crush injury.

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Area of Science:

  • Reconstructive surgery
  • Neurosurgery
  • Prosthetics

Background:

  • Targeted muscle reinnervation (TMR) is a surgical procedure that reroutes residual peripheral nerves to reinnervate remaining muscles.
  • This technique aims to improve prosthetic control and reduce neuroma pain and phantom limb sensations.

Observation:

  • A 28-year-old female patient underwent transhumeral amputation of the right upper extremity due to a severe crush injury from a vehicular accident.
  • The patient experienced significant pain and functional loss, necessitating advanced surgical intervention.

Findings:

  • This report documents the first successful application of a rectus flap for TMR in a patient with a transhumeral amputation.
  • The rectus flap provided viable muscle tissue for nerve implantation, facilitating TMR.

Implications:

  • Leveraging the rectus flap for TMR presents a novel approach for limb reconstruction and functional restoration.
  • This technique may offer a viable option for managing complex upper extremity amputations and associated pain.
  • Further research is warranted to explore the long-term outcomes and broader applicability of rectus flap TMR.