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Reinnervación Muscular Dirigida a los Músculos Lumbricales para Neuroma Sintomático del Muñón: Técnica Quirúrgica

Olga Politikou¹, Michael A Wirth¹, Martina Greminger¹

¹From the Division of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland.

Plastic and reconstructive surgery. Global open

|January 8, 2026

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.

Palabras clave:

neuroma del muñón reinnervación muscular dirigida TMR técnica quirúrgica cirugía de amputación regeneración nerviosa tratamiento del neuroma

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