Preemptive targeted muscle reinnervation:the single incision approach should be avoided in trans‑tibial traumatic amputation  

作　　者：Laurent Mathieu Constance Diner Philippe Aries Marie Thomas Stéphanie Truffaut Nicolas de L’escalopier 

机构地区：[1]Department of Orthopedic,Trauma and Reconstructive Surgery,Percy Military Hospital,101 avenue Henri Barbusse,92140 Clamart,France [2]French Military Hand Surgery Center,Percy Military Hospital,92140 Clamart,France [3]Department of Surgery,Ecole du Val‑de‑Grâce,French Military Health Service Academy,75005 Paris,France [4]Department of Anesthesia and Intensive Care,Clermont-Tonnerre Military Hospital,29240 Brest,France [5]Department of Rehabilitation Medicine,Percy Military Hospital,92140 Clamart,France [6]Department of Rehabilitation Medicine,National Institution of Invalids,75007 Paris,France.

出　　处：《Military Medical Research》2023年第4期569-571,共3页军事医学研究（英文版）

摘　　要：Dear Editor,Chronic pain is a significant concern after major lower limb amputations that often preclude prosthetic fitting,decrease ambulation,and impact the quality of life[1,2].In the last decade,targeted muscle reinnervation(TMR)has been proposed as a surgical strategy for treating or preventing symptomatic neuromas and phantomlimb phenomena in major amputees[1].This technique involves the transfer of an amputated mixed-motor and sensory nerve to a nearby recipient motor nerve[1,2].Unlike most surgical strategies that aim to hide or protect the neuroma,TMR gives the amputated nerves“somewhere to go and something to do”[2].In a randomized clinical trial on neuroma and phantom pain,Dumanian et al.[1]demonstrated that TMR reduces amputationrelated chronic pain at 1-year post-intervention when compared with the excision and muscle-burying technique,which remains the current gold standard.Valerio et al.[2]also proposed applying TMR at the time of major limb amputation for preventing chronic pain and found that TMR patients experienced less residual limb pain(RLP)and phantom limb pain(PLP)when compared with untreated amputee controls.

关 键 词：Heterotopic ossification Nerve transfer Targeted muscle reinnervation Trans-tibial amputation Trauma 

分 类 号：R687.3[医药卫生—骨科学]