The Octopus Procedure Combined with Targeted Muscle Reinnervation for Elective Transhumeral Amputation

Summary:. Optimizing prosthetic function and tolerance are key principles of performing an elective upper extremity amputation. It is common for upper extremity amputees to experience issues related to nonoptimal prosthetic control and pain. Targeted muscle reinnervation and regenerative peripheral...

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Autores principales:	Nikhil Agrawal, MD, Sigurast Olafsson, BS, Brent B. Pickrell, MD, Marilyn Heng, MD, MPH, Ian L. Valerio, MD, Kyle R. Eberlin, MD
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/4560fc5cfac947899b9fe43b72d689ae
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spelling	oai:doaj.org-article:4560fc5cfac947899b9fe43b72d689ae2021-11-25T07:58:04ZThe Octopus Procedure Combined with Targeted Muscle Reinnervation for Elective Transhumeral Amputation2169-757410.1097/GOX.0000000000003931https://doaj.org/article/4560fc5cfac947899b9fe43b72d689ae2021-11-01T00:00:00Zhttp://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003931https://doaj.org/toc/2169-7574Summary:. Optimizing prosthetic function and tolerance are key principles of performing an elective upper extremity amputation. It is common for upper extremity amputees to experience issues related to nonoptimal prosthetic control and pain. Targeted muscle reinnervation and regenerative peripheral nerve interfaces in elective transhumeral amputations have been introduced as techniques to address the paucity of signals that may exist for myoelectric control postamputation. These techniques require the denervation of muscle and rely on delayed muscle reinnervation to provide eventual signal amplification for prosthetic function. In addition, the fascicles cannot be separated enough to provide signals to each individual muscle. Use of native innervated forearm musculature can provide more immediate and specific signals for prosthetic use. These native muscles are often not available for use due to trauma, denervation, or dysvascularization. In elective amputations, they can be used as spare parts to provide more signals for the sensors on a myoelectric prosthetic. The concept has been used in partial hand amputations and allowed for individual digital control at the terminal prosthetic device. In this study, we describe a novel technique used for an elective transhumeral amputation utilizing native innervated, vascularized musculature to provide intuitive control of a myoelectric prosthetic.Nikhil Agrawal, MDSigurast Olafsson, BSBrent B. Pickrell, MDMarilyn Heng, MD, MPHIan L. Valerio, MDKyle R. Eberlin, MDWolters KluwerarticleSurgeryRD1-811ENPlastic and Reconstructive Surgery, Global Open, Vol 9, Iss 11, p e3931 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 Nikhil Agrawal, MD Sigurast Olafsson, BS Brent B. Pickrell, MD Marilyn Heng, MD, MPH Ian L. Valerio, MD Kyle R. Eberlin, MD The Octopus Procedure Combined with Targeted Muscle Reinnervation for Elective Transhumeral Amputation
description	Summary:. Optimizing prosthetic function and tolerance are key principles of performing an elective upper extremity amputation. It is common for upper extremity amputees to experience issues related to nonoptimal prosthetic control and pain. Targeted muscle reinnervation and regenerative peripheral nerve interfaces in elective transhumeral amputations have been introduced as techniques to address the paucity of signals that may exist for myoelectric control postamputation. These techniques require the denervation of muscle and rely on delayed muscle reinnervation to provide eventual signal amplification for prosthetic function. In addition, the fascicles cannot be separated enough to provide signals to each individual muscle. Use of native innervated forearm musculature can provide more immediate and specific signals for prosthetic use. These native muscles are often not available for use due to trauma, denervation, or dysvascularization. In elective amputations, they can be used as spare parts to provide more signals for the sensors on a myoelectric prosthetic. The concept has been used in partial hand amputations and allowed for individual digital control at the terminal prosthetic device. In this study, we describe a novel technique used for an elective transhumeral amputation utilizing native innervated, vascularized musculature to provide intuitive control of a myoelectric prosthetic.
format	article
author	Nikhil Agrawal, MD Sigurast Olafsson, BS Brent B. Pickrell, MD Marilyn Heng, MD, MPH Ian L. Valerio, MD Kyle R. Eberlin, MD
author_facet	Nikhil Agrawal, MD Sigurast Olafsson, BS Brent B. Pickrell, MD Marilyn Heng, MD, MPH Ian L. Valerio, MD Kyle R. Eberlin, MD
author_sort	Nikhil Agrawal, MD
title	The Octopus Procedure Combined with Targeted Muscle Reinnervation for Elective Transhumeral Amputation
title_short	The Octopus Procedure Combined with Targeted Muscle Reinnervation for Elective Transhumeral Amputation
title_full	The Octopus Procedure Combined with Targeted Muscle Reinnervation for Elective Transhumeral Amputation
title_fullStr	The Octopus Procedure Combined with Targeted Muscle Reinnervation for Elective Transhumeral Amputation
title_full_unstemmed	The Octopus Procedure Combined with Targeted Muscle Reinnervation for Elective Transhumeral Amputation
title_sort	octopus procedure combined with targeted muscle reinnervation for elective transhumeral amputation
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/4560fc5cfac947899b9fe43b72d689ae
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The Octopus Procedure Combined with Targeted Muscle Reinnervation for Elective Transhumeral Amputation

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