Lower Extremity Targeted Muscle Reinnervation for Mononeuropathy in Nonamputation Patients: Techniques and Tips

Painful mononeuropathies in nonamputation patients are prevalent and have historically been difficult to treat. Targeted muscle reinnervation (TMR) is known to reduce pain in amputation patients and those with neuroma formation. However, there is little known about TMR in nonamputation patients, and there is a lack of described techniques for performing TMR in lower extremity nonamputation patients. This article presents techniques for TMR in the lower extremity for nonamputation patients using cadaver dissection and surgical videos. The authors describe tips and tricks for performing these procedures, and the rationale for selecting recipient muscles for TMR in the lower extremity in nonamputation patients is reviewed.