TMRpni: Combining Two Peripheral Nerve Management Techniques.
Journal
Plastic and reconstructive surgery. Global open
ISSN: 2169-7574
Titre abrégé: Plast Reconstr Surg Glob Open
Pays: United States
ID NLM: 101622231
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
23
06
2020
accepted:
31
07
2020
entrez:
11
11
2020
pubmed:
12
11
2020
medline:
12
11
2020
Statut:
epublish
Résumé
Amputee patients suffer high rates of chronic neuropathic pain, residual limb dysfunction, and disability. Recently, targeted muscle reinnervation (TMR) and regenerative peripheral nerve interface (RPNI) are 2 techniques that have been advocated for such patients, given their ability to maximize intuitive prosthetic function while also minimizing neuropathic pain, such as residual and phantom limb pain. However, there remains room to further improve outcomes for our residual limb patients and patients suffering from symptomatic end neuromas. "TMRpni" is a nerve management technique that leverages beneficial elements described for both TMR and RPNI. TMRpni involves coaptation of a sensory or mixed sensory/motor nerve to a nearby motor nerve branch (ie, a nerve transfer), as performed in traditional TMR surgeries. Additionally, the typically mismatched nerve coaptation is wrapped with an autologous free muscle graft that is akin to an RPNI. The authors herein describe the "TMRpni" technique and illustrate a case where this technique was employed.
Identifiants
pubmed: 33173670
doi: 10.1097/GOX.0000000000003132
pmc: PMC7647640
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e3132Informations de copyright
Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.
Déclaration de conflit d'intérêts
Disclosure: The authors have no financial interest to declare in relation to the content of this article.
Références
Ann Surg. 2019 Aug;270(2):238-246
pubmed: 30371518
Arch Phys Med Rehabil. 2005 Oct;86(10):1910-9
pubmed: 16213230
Semin Plast Surg. 2015 Feb;29(1):62-72
pubmed: 25685105
Pain. 2013 May;154(5):729-32
pubmed: 23433944
Plast Reconstr Surg Glob Open. 2020 Mar 25;8(3):e2689
pubmed: 32537346
J Hand Surg Am. 2015 Sep;40(9):1877-88
pubmed: 26314220
J Surg Oncol. 2019 Sep;120(3):348-358
pubmed: 31197851
Sci Rep. 2018 Jan 12;8(1):620
pubmed: 29330413
Tech Orthop. 2017 Jun;32(2):109-116
pubmed: 28579692
J Plast Reconstr Aesthet Surg. 2019 Sep;72(9):1576-1606
pubmed: 31133528
Clin J Pain. 2006 May;22(4):353-8
pubmed: 16691088
Tech Hand Up Extrem Surg. 2016 Dec;20(4):166-171
pubmed: 27824734
Clin J Pain. 2012 Mar-Apr;28(3):222-5
pubmed: 21785344
J Hand Surg Am. 2019 Jun;44(6):525.e1-525.e8
pubmed: 30733097
Plast Reconstr Surg. 2019 Jan;143(1):309-312
pubmed: 30589808
Plast Reconstr Surg. 2018 Oct;142(4):541e-550e
pubmed: 30020229
Plast Reconstr Surg. 2018 Jun;141(6):1447-1458
pubmed: 29579026
Plast Reconstr Surg. 2019 Sep;144(3):421e-430e
pubmed: 31461024
Plast Reconstr Surg. 2012 Jan;129(1):187-94
pubmed: 22186509
Hand (N Y). 2014 Jun;9(2):253-7
pubmed: 24839430
Neurosurgery. 2016 Sep;79(3):508-13
pubmed: 27306717
Clin Orthop Relat Res. 2014 Oct;472(10):2984-90
pubmed: 24562875
Am J Phys Med Rehabil. 2009 Sep;88(9):742-51; quiz 752, 779
pubmed: 19692791
J Rehabil Res Dev. 2010;47(4):275-97
pubmed: 20803399
J Am Coll Surg. 2019 Mar;228(3):217-226
pubmed: 30634038
J Neuroeng Rehabil. 2018 Nov 20;15(1):108
pubmed: 30458876
Prosthet Orthot Int. 2004 Dec;28(3):245-53
pubmed: 15658637
Biomed Res Int. 2016;2016:5726730
pubmed: 27294122