Targeted Muscle Reinnervation in the Setting of Traumatic Bilateral Above-Knee Amputations: A Case Report

Isabel Herzog, Joseph Weisberger, Ashley Ignatiuk

Research output: Contribution to journalArticlepeer-review

Abstract

Case:We present the case of a 20-year-old man who was pedestrian struck and sustained bilateral traumatic above-knee amputations. Targeted muscle reinnervation (TMR) was performed with nerve transfers, including tibial nerve to semitendinosus (bilateral), superficial peroneal nerve to biceps femoris (left), deep peroneal nerve to biceps femoris (left), and common peroneal nerve to biceps femoris (right).Conclusions:Less than 1 year postoperatively, the patient was ambulating on his myoelectric prosthesis and experienced no Tinel or neuroma-type pain. This case is a testament to the impact TMR, an innovative surgical technique, can have on the quality of life of patients sustaining devastating limb injuries.

Original languageEnglish (US)
Article numbere22.00617
JournalJBJS case connector
Volume13
Issue number1
DOIs
StatePublished - Mar 9 2023

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Keywords

  • biceps femoris
  • common peroneal nerve
  • deep peroneal nerve
  • male
  • neuroma pain
  • phantom limb pain
  • semitendinosus
  • superficial peroneal nerve
  • tibial nerve
  • TMR
  • traumatic guillotine amputations
  • young adult

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