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Updated: Jul 21, 2026

Stromal Vascular Fraction-enriched Fat Grafting for the Treatment of Symptomatic End-neuromata
Published on: November 23, 2017
Targeted Muscle Reinnervation to Lumbrical Muscles for Symptomatic Digital Stump Neuroma: Surgical Technique
Olga Politikou1, Michael A Wirth1, Martina Greminger1
1From the Division of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland.
Abstract:
Targeted muscle reinnervation (TMR) represents a significant advancement in treating symptomatic stump neuromas. Unlike traditional passive procedures, TMR redirects axonal growth from sensory nerves to motor endplates, which may help prevent neuroma recurrence. This study detailed the surgical steps involved in applying TMR to the lumbrical muscles, supported by graphic, photographic, and video illustrations, aiming to ensure reproducibility.

