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Margaret S. Roubaud, MD

Assistant Professor, Department of Plastic Surgery, Division of Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX

Until recently, the surgical techniques of amputation have not changed significantly since the Civil War era. Dr. Roubaud will review MD Anderson’s multidisciplinary approach and standard of care to manage post-amputation neuroma and phantom limb pain. Dr. Roubaud will discuss how the management of nerves with targeted muscle reinnervation (TMR) at the time of amputation improves pain outcomes and is becoming a new standard of care.

Suggested Reading

Ann Surg. 2019 Aug;270(2):238-246. doi: 10.1097/SLA.0000000000003088. PMID: 30371518.

Targeted Muscle Reinnervation Treats Neuroma and Phantom Pain in Major Limb Amputees: A Randomized Clinical Trial.

  • Dumanian GA
  • Potter BK
  • Mioton LM
  • Ko JH
  • Cheesborough JE
  • Souza JM
  • Ertl WJ
  • Tintle SM
  • Nanos GP
  • et al
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J Am Coll Surg. 2019 Mar;228(3):217-226. doi: 10.1016/j.jamcollsurg.2018.12.015. Epub 2019 Jan 8. PMID: 30634038.

Preemptive Treatment of Phantom and Residual Limb Pain with Targeted Muscle Reinnervation at the Time of Major Limb Amputation.

  • Valerio IL
  • Dumanian GA
  • Jordan SW
  • Mioton LM
  • Bowen JB
  • West JM
  • Porter K
  • Ko JH
  • Souza JM
  • Potter BK
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J Surg Oncol. 2020 Dec;122(8):1693-1710. doi: 10.1002/jso.26189. Epub 2020 Sep 3. PMID: 32885434.

Targeted muscle reinnervation following external hemipelvectomy or hip disarticulation: An anatomic description of technique and clinical case correlates.

  • Anderson SR
  • Wimalawansa SM,
  • Roubaud MS
  • Mericli AF
  • Horne BR
  • Valerio IL
Read Article

J Surg Oncol. 2019 Sep;120(3):348-358. doi: 10.1002/jso.25586. Epub 2019 Jun 13. PMID: 31197851; PMCID: PMC7701996.

Targeted muscle reinnervation in oncologic amputees: Early experience of a novel institutional protocol.

  • Alexander JH
  • Jordan SW
  • West JM
  • Compston A
  • Fugitt J
  • Bowen JB
  • Dumanian GA
  • Pollock R
  • et al
Read Article

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