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TMR Cadaveric Dissection of Below-the-Knee Amputation

Upon completion of this activity, participants should be able to:

Complete an independent cadaveric lab for targeted muscle reinnervation (TMR) in below-the-knee (BKA) amputation.

Discuss the different techniques, including the donor and recipient nerves, in the BKA TMR procedure.

Execute the most common TMR nerve coaptations in the lower extremity.

Describe the steps for performing TMR in lower-extremity BKA patients.


Gregory Dumanian, MD, pioneered the application of targeted muscle reinnervation (TMR) for the treatment of post-amputation pain. He is Chief of Plastic Surgery, Department of Surgery, at the Orion H. and Lucille W. Stuteville Professor of Plastic and Reconstructive Surgery, at Northwestern Medicine.

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