Plastic and Reconstructive Surgery, Global Open (Apr 2020)

A Single Incision Anterior Approach for Transhumeral Amputation Targeted Muscle Reinnervation

  • Michael C. Daly, MD,
  • Janice J. He, MD,
  • Ryan P. Ponton, MD,
  • Jason H. Ko, MD, MBA,
  • Ian L. Valerio, MD, MS, MBA,
  • Kyle R. Eberlin, MD

DOI
https://doi.org/10.1097/GOX.0000000000002750
Journal volume & issue
Vol. 8, no. 4
p. e2750

Abstract

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Summary:. Targeted muscle reinnervation (TMR) is an evolving technique with promising results for prevention and treatment of neuropathic pain, as well as modulation of control for myoelectric prostheses. The previously described and most commonly used technique for transhumeral TMR combines both an anterior and posterior approach to access the major peripheral nerves of the upper extremity. In this article, we review the literature for transhumeral TMR and describe a more expeditious and efficient anterior-only approach that offers safe access through a single incision.