Citation

Elmaraghi S, Albano NJ, Israel JS, Michelotti BF. J. Hand Surg. Am. 2019; ePub(ePub): ePub.

Affiliation

Division of Plastic Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI. Electronic address: selmaraghi@uwhealth.org.

Copyright

(Copyright © 2019, American Society for Surgery of the Hand, Publisher Elsevier Publishing)

DOI

10.1016/j.jhsa.2019.10.020

PMID

31818541

Abstract

Targeted muscle reinnervation (TMR), originally developed as an experimental technique for prosthetic control, has been shown to be safe and effective for the treatment and prevention of postamputation pain. Targeted muscle reinnervation involves coaptation of residual nerve ends to nearby motor nerve branches of healthy but expendable muscles proximal to an amputation. It has been shown to prevent and reduce residual limb pain and phantom limb pain after major upper and lower extremity amputation. However, the use of this technique has not been described distal to the forearm because bioprosthetic use is not a consideration at that level. The aim of this article was to (1) present 2 cases of TMR performed in the setting of ray amputation, and (2) provide technical strategies for maximizing success and efficiency.

Copyright © 2019 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

Language: en

Keywords

Targeted muscle reinnervation; digital neuroma; nerve transfers; postamputation pain; ray amputation