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Cirugía Plástica Ibero-Latinoamericana
On-line version ISSN 1989-2055Print version ISSN 0376-7892
Abstract
YUSTE BENAVENTE, Valentín; MARTI AYATS, Josep María; GARIN ALEGRE, Marta and RODERO ROLDAN, María Del Mar. Delayed targeted muscle reinnervation in the management of neuropathic pain after lower limb amputation. Cir. plást. iberolatinoam. [online]. 2023, vol.49, n.4, pp.347-354. Epub Feb 05, 2024. ISSN 1989-2055. https://dx.doi.org/10.4321/s0376-78922023000400006.
Background and objective.
Neuropathic pain is one of the most common complications in lower extremity amputation surgery. In this context, Targeted Muscle Reinnervation (TMR) emerges as a technique with promising results in the treatment of neuropathic pain after amputation and phantom limb.
In this article we describe the surgical technique and our clinical experience.
Methods.
Between January 2021 and December 2022, we registered the patients operated on for delayed TMR of the lower extremity in the Plastic Surgery Service of the Miguel Servet University Hospital (Zaragoza, Spain) evaluating their ability to wear prostheses 6 months after the intervention. Likewise, we expose the surgical technique used.
Results.
A total of 9 patients were operated, being 7 infracondylar and 2 supracondylar amputations. Six months after surgery, 7 patients could walk with the prosthesis, while the other 2 ones still experienced pain that prevented fitting the prosthesis. Both patients had been amputated for vascular causes.
Conclusions.
In our clinical series, we obtained promising results which allow ambulation in a large proportion of patients although we consider that patient selection is a crucial point in the application of this technique.
Level of evidence
4c Therapeutic
Keywords : Lower limb; Phantom Limb; Amputation stumps; Neuralgia.