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上肢截肢者的靶向肌肉再支配:技术路线图。

Targeted Muscle Reinnervation in the Upper Extremity Amputee: A Technical Roadmap.

作者信息

Gart Michael S, Souza Jason M, Dumanian Gregory A

机构信息

Department of Surgery, Division of Plastic and Reconstructive Surgery, Northwestern Memorial Hospital, Chicago, IL.

Department of Surgery, Division of Plastic and Reconstructive Surgery, Northwestern Memorial Hospital, Chicago, IL.

出版信息

J Hand Surg Am. 2015 Sep;40(9):1877-88. doi: 10.1016/j.jhsa.2015.06.119.

DOI:10.1016/j.jhsa.2015.06.119
PMID:26314220
Abstract

Targeted muscle reinnervation (TMR) offers the potential for improved prosthetic function by reclaiming the neural control information that is lost as a result of upper extremity amputation. In addition to the prosthetic control benefits, TMR is a potential treatment for postamputation neuroma pain. Here, we present our surgical technique for TMR nerve transfers in transhumeral and shoulder disarticulation patients.

摘要

靶向肌肉再支配(TMR)通过恢复因上肢截肢而丧失的神经控制信息,为改善假肢功能提供了可能。除了对假肢控制有益外,TMR还是治疗截肢后神经瘤疼痛的一种潜在方法。在此,我们介绍经肱骨截肢和肩关节离断患者TMR神经移位的手术技术。

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引用本文的文献

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Optimal Sites for Upper Extremity Amputation: Comparison Between Surgeons and Prosthetists.上肢截肢的最佳部位:外科医生与假肢矫形师的比较
Bioengineering (Basel). 2025 Jul 15;12(7):765. doi: 10.3390/bioengineering12070765.
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Targeted Muscle Reinnervation-an Up-to-Date Review: Evidence, Indications, and Technique.靶向肌肉再支配——最新综述:证据、适应症和技术
Arch Plast Surg. 2025 Apr 1;52(3):153-168. doi: 10.1055/a-2521-2199. eCollection 2025 May.
3
Curative and preemptive treatment of amputee pain by targeted muscle reinnervation: experience from a French military trauma center.
通过靶向肌肉再支配对截肢者疼痛进行治疗性和预防性治疗:来自法国军事创伤中心的经验。
Eur J Trauma Emerg Surg. 2025 Jan 24;51(1):37. doi: 10.1007/s00068-024-02701-w.
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Phantom Limb Pain Management.幻肢痛的管理
J Hand Surg Am. 2025 Feb;50(2):208-215. doi: 10.1016/j.jhsa.2024.09.007. Epub 2024 Oct 21.
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Managing Major Peripheral Nerves in Forearm-Level Amputations With TMR and RPNI: What's the Best Recipe?运用靶肌肉神经转位术和股薄肌神经植入术处理前臂水平截肢中的主要周围神经:最佳方案是什么?
Hand (N Y). 2024 Sep 12:15589447241277842. doi: 10.1177/15589447241277842.
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