Targeted Muscle Reinnervation for Prosthetic Control

Konstantin D Bergmeister; Stefan Salminger; Oskar C Aszmann

doi:10.1016/j.hcl.2021.05.006

Targeted Muscle Reinnervation for Prosthetic Control

Konstantin D Bergmeister, Stefan Salminger, Oskar C Aszmann

Division of Plastic, Aesthetic and Reconstructive Surgery (University Hospital St. Pölten)

Research output: Journal article (peer-reviewed) › Review article

12 Citations (Scopus)

Abstract

Targeted muscle reinnervation (TMR) is a surgical procedure, whereby nerves without muscle targets after extremity amputation are transferred to residual stump muscles. Thereby, the control of prosthesis is improved by increasing the number of independent muscle signals. The authors describe indications for TMR to improve prosthetic control and present standard nerve transfer matrices suitable for transhumeral and glenohumeral amputees. In addition, the perioperative procedure is described, including preoperative testing, surgical approach, and postoperative rehabilitation. Based on recent neurophysiological insights and technological advances, they present an outlook into the future of prosthetic control combining TMR and implantable electromyographic technology.

Original language	English
Pages (from-to)	415-424
Number of pages	10
Journal	Hand Clinics
Volume	37
Issue number	3
DOIs	https://doi.org/10.1016/j.hcl.2021.05.006
Publication status	Published - Aug 2021

Keywords

Amputation
Amputation Stumps
Amputees
Artificial Limbs
Humans
Muscle, Skeletal/surgery

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10.1016/j.hcl.2021.05.006

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title = "Targeted Muscle Reinnervation for Prosthetic Control",

abstract = "Targeted muscle reinnervation (TMR) is a surgical procedure, whereby nerves without muscle targets after extremity amputation are transferred to residual stump muscles. Thereby, the control of prosthesis is improved by increasing the number of independent muscle signals. The authors describe indications for TMR to improve prosthetic control and present standard nerve transfer matrices suitable for transhumeral and glenohumeral amputees. In addition, the perioperative procedure is described, including preoperative testing, surgical approach, and postoperative rehabilitation. Based on recent neurophysiological insights and technological advances, they present an outlook into the future of prosthetic control combining TMR and implantable electromyographic technology.",

keywords = "Amputation, Amputation Stumps, Amputees, Artificial Limbs, Humans, Muscle, Skeletal/surgery",

author = "Bergmeister, {Konstantin D} and Stefan Salminger and Aszmann, {Oskar C}",

note = "Funding Information: The authors have nothing to disclose.",

year = "2021",

month = aug,

doi = "10.1016/j.hcl.2021.05.006",

language = "English",

volume = "37",

pages = "415--424",

journal = "Hand Clinics",

issn = "0749-0712",

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TY - JOUR

T1 - Targeted Muscle Reinnervation for Prosthetic Control

AU - Bergmeister, Konstantin D

AU - Salminger, Stefan

AU - Aszmann, Oskar C

N1 - Funding Information: The authors have nothing to disclose.

PY - 2021/8

Y1 - 2021/8

N2 - Targeted muscle reinnervation (TMR) is a surgical procedure, whereby nerves without muscle targets after extremity amputation are transferred to residual stump muscles. Thereby, the control of prosthesis is improved by increasing the number of independent muscle signals. The authors describe indications for TMR to improve prosthetic control and present standard nerve transfer matrices suitable for transhumeral and glenohumeral amputees. In addition, the perioperative procedure is described, including preoperative testing, surgical approach, and postoperative rehabilitation. Based on recent neurophysiological insights and technological advances, they present an outlook into the future of prosthetic control combining TMR and implantable electromyographic technology.

AB - Targeted muscle reinnervation (TMR) is a surgical procedure, whereby nerves without muscle targets after extremity amputation are transferred to residual stump muscles. Thereby, the control of prosthesis is improved by increasing the number of independent muscle signals. The authors describe indications for TMR to improve prosthetic control and present standard nerve transfer matrices suitable for transhumeral and glenohumeral amputees. In addition, the perioperative procedure is described, including preoperative testing, surgical approach, and postoperative rehabilitation. Based on recent neurophysiological insights and technological advances, they present an outlook into the future of prosthetic control combining TMR and implantable electromyographic technology.

KW - Amputation

KW - Amputation Stumps

KW - Amputees

KW - Artificial Limbs

KW - Humans

KW - Muscle, Skeletal/surgery

UR - http://www.scopus.com/inward/record.url?scp=85109617673&partnerID=8YFLogxK

U2 - 10.1016/j.hcl.2021.05.006

DO - 10.1016/j.hcl.2021.05.006

M3 - Review article

C2 - 34253314

SN - 0749-0712

VL - 37

SP - 415

EP - 424

JO - Hand Clinics

JF - Hand Clinics

IS - 3

ER -

Targeted Muscle Reinnervation for Prosthetic Control

Abstract

Keywords

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