Journal
Procedure for Targeted Muscle Reinnervation for Treating Postamputation Pain
March 08, 2024
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1Center for Bionics and Pain Research, 2Center for Advanced Reconstruction of Extremities,Sahlgrenska University Hospital, 3Department of Electrical Engineering,Chalmers University of Technology, 4Bionics Institute, 5IV Clinica Ortoplastica,IRCCS Istituto Ortopedico Rizzoli, 6Department of Hand Surgery, Institute of Clinical Sciences, Sahlgrenska Academy,University of Gothenburg, Sahlgrenska University Hospital, 7Department of Orthopedic, Hand Unit,Worker Hospital, 8College of Medicine and Veterinary Medicine, The Queen’s Medical Research Institute,The University of Edinburgh, 9Canniesburn Plastic Surgery Unit,Glasgow Royal Infirmary, 10College of Medicine, Veterinary & Life Sciences,The University of Glasgow, 11Division of Plastic Surgery, Department of Surgery, Faculty of Medicine and Dentistry,University of Alberta, 12Plastics and Reconstructive Surgery, Dandenong Hospital,Monash Health, 13Division of Plastic and Reconstructive Surgery,Massachusetts General Hospital &, Harvard Medical School, 14Section of Plastic Surgery, Department of Surgery,Michigan Medicine, 15Department of Surgery,Uniformed Services University of the Health Sciences and Walter Reed National Military Medical Center, 16Department of Plastic and Reconstructive Surgery,Ohio State University, 17Clinical Laboratory for Bionic Extremity Reconstruction, Department of Plastic, Reconstructive and Aesthetic Surgery,Medical University Vienna, 18Division of Plastic Surgery, Department of Surgery,Northwestern Feinberg School of Medicine, 19Medical Bionics Department,University of Melbourne, 20Prometei Pain Rehabilitation Center

Summary

הפרוטוקול מתאר את ההליך הכירורגי לטיפול בכאבים לאחר קטיעה באמצעות עצבוב שרירים ממוקד (TMR). TMR יושווה לשתי טכניקות כירורגיות אחרות, במיוחד ממשק עצבים היקפי רגנרטיבי (RPNI) וכריתת נוירומה, ולאחר מכן קבורה מיידית בתוך השריר בהקשר של ניסוי בינלאומי אקראי ומבוקר.