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在上肢截肢中,有针对性的肌肉再生.

Elliot L H Le1, Matthew L Iorio1, Mark A Greyson2

  • 1Division of Plastic and Reconstructive Surgery, University of Colorado Anschutz Medical Center, 12631 East 17Th Ave, Room 6111, Aurora, CO, 80045, USA.

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
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PubMed
概括

针对性肌肉再生 (TMR) 为截肢者提供了外科解决方案,改善了假肢控制和缓解幻肢疼痛. 这种技术将外围神经与肌肉点联系起来,增强肌电信号并治疗神经性疼痛.

关键词:
外周神经手术是指外周神经的手术.有针对性的肌肉再内尔化.上肢截肢的截肢是指上肢截肢.

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科学领域:

  • 手术方面的创新.
  • 再生医学是一种再生医学.
  • 假肢学和生物电子学

背景情况:

  • 向肌肉再生 (TMR) 是一种涉及神经收获的手术技术.
  • 最初是为了改善截肢者的肌电假肢控制而开发的.
  • 偶然发现TMR在治疗幻肢和残余四肢疼痛方面的有效性.

研究的目的:

  • 审查有关上肢截肢患者TMR的当前文献.
  • 详细介绍适用于各种截肢水平的TMR技术.
  • 为TMR在临床实践中的实施提供建议.

主要方法:

  • 对TMR现有科学文献的审查.
  • 对不同的上肢截肢水平进行手术技术的分析.
  • 作者的临床经验和建议的综合.

主要成果:

  • TMR增强了用于假肢的肌电信号采集.
  • TMR有效地治疗和预防幻肢和残余四肢疼痛.
  • TMR可以在任何截肢水平上进行,无论是在初始手术期间还是延迟.

结论:

  • 对所有上肢截肢者来说,TMR是一个有价值的考虑因素.
  • 多学科的肢体救援团队对于最佳的TMR结果至关重要.
  • 进一步的研究和标准化技术可以增强TMR的好处.