Jacques H. Hacquebord, MD
Hand and Reconstructive Microsurgery, Assistant Professor, Department of Orthopaedic and Plastic Surgery, NYU Grossman School of Medicine
Michael E. Barfield, MD
Vascular Surgeon, Clinical Assistant Professor, Department of Surgery, NYU Grossman School of Medicine
Dr. Jacques Hacquebord and Dr. Michael Barfield reviewed utilization of TMR in the vasculopathic patient for the reduction of post-amputation neuroma and phantom limb pain in major limb amputations. They reviewed recent clinical data comparing TMR to standard practice (nerve relocation and bury into muscle) in the trauma and oncologic patient populations. Considerations for the utilization of TMR in the vasculopathic patient population, procedure overview and tips for getting started with TMR were discussed. The session concluded with an interactive question and answer session.
Suggested Reading
J Am Coll Surg. 2019;228(3):217-226. doi:10.1016/j. jamcollsurg.2018.12.015
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, et al
Ann of Surg, 2018 Oct. DOI: 10.1097/SLA.0000000000003088
Targeted Muscle Reinnervation Treats Neuroma and Phantom Pain in Major Limb Amputees: A Randomized Clinical Trial
- Dumanian GA
- Potter BK
- Mioton LM, et al
Journal of Vascular Surgery, 2020 July. DOI: https://doi.org/10.1016/j.jvs.2020.04.060
Targeted Muscle Reinnervation Reduces Pain and Improves Ambulation in Patients Undergoing Below-Knee Amputation: A Single-Institution Matched Cohort Study
- Chang BL
- Attinger CE
- Akbari CM
- Kleiber GM
Plast Reconstr Surg Glob Open. 2018;6(10):e1952. Published 2018 Oct 16. doi:10.1097/GOX.0000000000001952
Surgical Algorithm for Neuroma Management: A Changing Treatment Paradigm
- Eberlin KR
- Ducic I