Targeted Muscle Reinervation (TMR) is a surgical technique originally developed for intuitive prosthetic control. The technique also has been gaining acceptance as a treatment for residual and phantom limb pain.[1]
Learn more about TMR for post-amputation pain at the resources below.
TMR JOURNAL CLUBS, WEBINARS AND COURSES
Surgical Management of Peripheral Nerve Pain
Gregory Dumanian, MD
A virtual, interactive TMR journal article review led by author Gregory Dumanian, MD. Webcast April 21, 2020.
Webinar: Adding TMR to Your Practice
Kyle R. Eberlin, MD, Bryan J. Loeffler, MD and Anthony Echo, MD
A webinar on the consideration and best practices for adding TMR to your surgical practice. Webcast January 28, 2020.
TMR Surgical Techniques
Ian Valerio, MD
A virtual, interactive TMR journal article review led by author Ian Valerio, MD. Webcast May 27, 2020.
Course: TMR Cadaveric BKA Dissection
Gregory Dumanian, MD
In this free course, Dr. Dumanian walks you through a TMR cadaveric below-the-knee dissection.
TMR WHITE PAPERS AND ABSTRACTS
Targeted Muscle Reinnervation for Symptomatic Neuroma of Deep Peroneal Nerve After Below the Knee Amputation
Stephen J. Kovach, MD, April, 2020
Reviewing Use of Checkpoint in Targeted Muscle Reinnervation Surgery
Ian Valerio, April 2018
Plast Reconstr Surg Glob Open. 2020;8(3):e2689. Published 2020 Mar 25. Doi:10.1097/GOX.0000000000002689
Targeted Muscle Reinnervation Combined with a Vascularized Pedicled Regenerative Peripheral Nerve Interface
Valerio I, Schulz SA, West J, Westenberg RF, Eberlin KR
Plast Reconstr Surg Glob Open. 2020;8(4):e2750. Published 2020 Apr 23. doi:10.1097/GOX.0000000000002750
A Single Incision Anterior Approach for Transhumeral Amputation Targeted Muscle Reinnervation
Daly MC, He JJ, Ponton RP, Ko JH, Valerio IL, Eberlin KR
Clin Orthop Relat Res. 2020;10.1097/CORR.0000000000001323. doi:10.1097/CORR.0000000000001323
Targeted Muscle Reinnervation Improves Residual Limb Pain, Phantom Limb Pain, and Limb Function: A Prospective Study of 33 Major Limb Amputees
Mioton LM, Dumanian GA, Shah N, Qiu CS, Ertl WJ, Potter BK, Souza JM, Valerio IL, Ko JH, Jordan SW
J Surg Oncol. 2019;120(3):348-358. doi:10.1002/jso.25586
Targeted Muscle Reinnervation in Oncologic Amputees:
Early Experience of a Novel Institutional Protocol
Alexander JH, Jordan SW, West J M, Compston A, Fugitt J, Bowen JB, Dumanian G A, Pollock R, Mayerson JL, Scharschmidt TJ, Valerio IL
1. Eberlin KR, Ducic I. Surgical Algorithm for Neuroma Management: A Changing Treatment Paradigm. Plast Reconstr Surg Glob Open. 2018;6(10):e1952. Published 2018 Oct 16. doi:10.1097/GOX.0000000000001952
The Checkpoint® Nerve Stimulator can be used to identify motor nerves and muscle during TMR and other procedures.
