Targeted Muscle Reinnervation in Children: A Case Report and Brief Overview of the Literature.
| Autor: | Pires GR; Division of Plastic Surgery, University of Utah, Salt Lake City, Utah., Moss WD; Division of Plastic Surgery, University of Utah, Salt Lake City, Utah., Ormiston LD; Division of Plastic Surgery, University of Utah, Salt Lake City, Utah., Baschuk CM; Handspring Clinical Services, Salt Lake City, Utah., Mendenhall SD; Division of Plastic Surgery, University of Utah, Salt Lake City, Utah.; Division of Plastic and Reconstructive Surgery, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pa. |
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| Jazyk: | angličtina |
| Zdroj: | Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2021 Dec 17; Vol. 9 (12), pp. e3986. Date of Electronic Publication: 2021 Dec 17 (Print Publication: 2021). |
| DOI: | 10.1097/GOX.0000000000003986 |
| Abstrakt: | Absence of the proximal upper limb, whether congenital or acquired, has a profound impact on quality of life. Targeted muscle reinnervation (TMR) was originally developed to improve functional control over myoelectric prostheses; however, it has also been shown to decrease phantom limb pain and neuroma pain as well as prevent neuroma formation. In children, whose rates of prosthetic use are considerably lower than adults, the effects of amputation on limb function can be devastating. To date, there is very little literature regarding the use of TMR in children. In this case report, we review the current literature and present the case of a 9-year-old boy with a transhumeral amputation secondary to a traumatic injury who underwent acute TMR at the time of wound closure. At 22 months follow-up, the patient is doing well with minimal pain, no evidence of neuroma formation, and signs of muscle reinnervation. Competing Interests: Disclosure: Dr. Mendenhall receives unrelated research funding from CoNextions Medical Inc. and previously was a consultant for PolyNovo. All the other authors have no financial interest to declare in relation to the content of this article. No funding was received for this article. (Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.) |
| Databáze: | MEDLINE |
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