Daly Michael C, He Janice J, Ponton Ryan P, Ko Jason H, Valerio Ian L, Eberlin Kyle R
Department of Orthopaedic Surgery, Hand and Upper Extremity Surgery, Massachusetts General Hospital, Boston, Mass.
Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Plast Reconstr Surg Glob Open. 2020 Apr 23;8(4):e2750. doi: 10.1097/GOX.0000000000002750. eCollection 2020 Apr.
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.
靶向肌肉再支配（TMR）是一种不断发展的技术，在预防和治疗神经性疼痛以及调节肌电假肢控制方面取得了有前景的成果。先前描述的且最常用的经肱骨TMR技术结合了前路和后路来显露上肢的主要周围神经。在本文中，我们回顾了经肱骨TMR的相关文献，并描述了一种更快速有效的仅采用前路的方法，该方法通过单一切口即可安全显露。
