Targeted Muscle Reinnervation of a Muscle-Free Flap for Improved Prosthetic Control in a Shoulder Amputee: Case Report

2011 ◽  
Vol 36 (5) ◽  
pp. 890-893 ◽  
Author(s):  
Reuben A. Bueno ◽  
Brooke French ◽  
Damon Cooney ◽  
Michael W. Neumeister
Hand Clinics ◽  
2021 ◽  
Vol 37 (3) ◽  
pp. 415-424
Author(s):  
Konstantin D. Bergmeister ◽  
Stefan Salminger ◽  
Oskar C. Aszmann

2021 ◽  
Vol 9 (12) ◽  
pp. e3986
Author(s):  
Giovanna R. Pires ◽  
Whitney D. Moss ◽  
Laurel D. Ormiston ◽  
Christopher M. Baschuk ◽  
Shaun D. Mendenhall

Author(s):  
Michael J. Gigliotti ◽  
Neel Patel ◽  
Caroline McLaughlin ◽  
Alexis Rothermel ◽  
Cathy Henry ◽  
...  

Hand ◽  
2021 ◽  
pp. 155894472199246
Author(s):  
David D. Rivedal ◽  
Meng Guo ◽  
James Sanger ◽  
Aaron Morgan

Targeted muscle reinnervation (TMR) has been shown to improve phantom and neuropathic pain in both the acute and chronic amputee population. Through rerouting of major peripheral nerves into a newly denervated muscle, TMR harnesses the plasticity of the brain, helping to revert the sensory cortex back toward the preinsult state, effectively reducing pain. We highlight a unique case of an above-elbow amputee for sarcoma who was initially treated with successful transhumeral TMR. Following inadvertent nerve biopsy of a TMR coaptation site, his pain returned, and he was unable to don his prosthetic. Revision of his TMR to a more proximal level was performed, providing improved pain and function of the amputated arm. This is the first report to highlight the concept of secondary neuroplasticity and successful proximal TMR revision in the setting of multiple insults to the same extremity.


Author(s):  
Pedro C. Cavadas ◽  
Magdalena Baklinska

AbstractThe case presented here is a delayed reconstruction of a facial nerve defect after radical parotidectomy without a useful nerve stump at the stylomastoid foramen. A composite free flap was used to reconnect the nerve’s intrapetrous portion to the peripheral branches and reconstruct the soft-tissue deficit.


1987 ◽  
Vol 40 (4) ◽  
pp. 427-431 ◽  
Author(s):  
Bernard McC. O'Brien ◽  
Ronald M. Barton ◽  
Julian J. Pribaz
Keyword(s):  

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