Targeted muscle reinnervation (TMR) is beneficial for decreasing pain following below-knee amputation (BKA). While most current literature describes the principles behind primary TMR, they provide few principles key to the amputation, as the BKA is …

TMR has successfully been used to reduce residual limb and phantom limb pain in patients with upper and lower extremity amputations. For patients with below-the-knee amputations (BKAs), the tibial nerve and superficial peroneal nerve (SPN) are the most common sensory nerves addressed with TMR.

This article provides insight into the technical pearls of performing TMR primarily at time of BKA, with a focus on the unique interfascicular SPN TMR, which places the coaptation away from the weight-bearing stump.

Jul 16, 2020 · Targeted muscle reinnervation (TMR) is beneficial for decreasing pain following below-knee amputation (BKA). While most current literature describes the principles behind primary TMR, they provide few principles key to the amputation, as the BKA is usually performed by another surgeon.

Approximately 25 percent of major limb amputees will develop chronic localized symptomatic neuromas and phantom limb pain in the residual limb. A method to treat and possibly prevent these pain symptoms is targeted reinnervation.

Targeted muscle reinnervation (TMR) surgery can help relieve the pain by rerouting nerves in the affected limb. TMR can occur during the amputation surgery as a preventive measure or months or years after the amputation.

Jul 16, 2020 · Targeted muscle reinnervation (TMR) is beneficial for decreasing pain following below-knee amputation (BKA). While most current literature describes the principles behind primary TMR, they provide few principles key to the amputation, as the BKA is usually performed by another surgeon.

Targeted muscle reinnervation (TMR) is a nerve transfer procedure that redirects the surgically transected major sensory nerves into motor nerve to prevent or treat both neuroma and phantom limb pain.

Jul 16, 2020 · Targeted muscle reinnervation (TMR) is beneficial for decreasing pain following below-knee amputation (BKA). While most current literature describes the principles behind primary TMR, they...

The TMR is a surgical technique involving the transfer of residual peripheral nerves in the amputated limb to muscle motor nerves, restoring physiological continuity and encouraging nerve growth. This technique reduces phantom pain and enhances prosthetic tolerance.