Targeted Muscle Reinnervation and the Volar Forearm Filet Flap for Forequarter Amputation: Description of Operative Technique
Targeted muscle reinnervation after upper-extremity amputation has demonstrated improved outcomes with myoelectric prosthesis function and postoperative neuropathic pain. This technique has been established in the setting of shoulder disarticulation as well as transhumeral and transradial amputation...
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2020-09-01
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doaj-3e4e64eedf804377a4c532aeae09bf392020-11-25T03:19:17ZengElsevierJournal of Hand Surgery Global Online2589-51412020-09-0125306311Targeted Muscle Reinnervation and the Volar Forearm Filet Flap for Forequarter Amputation: Description of Operative TechniqueMarie T. Morris, MD0Christopher J. Dy, MD, MPH1Martin I. Boyer, MD, MSc2David M. Brogan, MD, MSc3Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, MODepartment of Orthopaedic Surgery, Washington University School of Medicine, St Louis, MO; Department of Surgery, Division of Public Health Sciences, Washington University School of Medicine, St Louis, MODepartment of Orthopaedic Surgery, Washington University School of Medicine, St Louis, MODepartment of Orthopaedic Surgery, Washington University School of Medicine, St Louis, MO; Corresponding author: David M. Brogan, MD, MSc, Department of Orthopaedic Surgery, Washington University School of Medicine, 660 S Euclid Avenue, Campus Box 8233, St Louis, MO 63110.Targeted muscle reinnervation after upper-extremity amputation has demonstrated improved outcomes with myoelectric prosthesis function and postoperative neuropathic pain. This technique has been established in the setting of shoulder disarticulation as well as transhumeral and transradial amputations, but a detailed technique of targeted muscle reinnervation with free tissue transfer from the volar forearm after forequarter amputation has not yet been described. Here, we describe a technique using a volar forearm filet flap to achieve simultaneously satisfactory soft tissue coverage after resection of a tumor from the chest wall and targeted muscle reinnervation of the brachial plexus.http://www.sciencedirect.com/science/article/pii/S2589514120300529Filet flapForequarter amputationTargeted muscle reinnervationUpper extremity amputation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Marie T. Morris, MD Christopher J. Dy, MD, MPH Martin I. Boyer, MD, MSc David M. Brogan, MD, MSc |
spellingShingle |
Marie T. Morris, MD Christopher J. Dy, MD, MPH Martin I. Boyer, MD, MSc David M. Brogan, MD, MSc Targeted Muscle Reinnervation and the Volar Forearm Filet Flap for Forequarter Amputation: Description of Operative Technique Journal of Hand Surgery Global Online Filet flap Forequarter amputation Targeted muscle reinnervation Upper extremity amputation |
author_facet |
Marie T. Morris, MD Christopher J. Dy, MD, MPH Martin I. Boyer, MD, MSc David M. Brogan, MD, MSc |
author_sort |
Marie T. Morris, MD |
title |
Targeted Muscle Reinnervation and the Volar Forearm Filet Flap for Forequarter Amputation: Description of Operative Technique |
title_short |
Targeted Muscle Reinnervation and the Volar Forearm Filet Flap for Forequarter Amputation: Description of Operative Technique |
title_full |
Targeted Muscle Reinnervation and the Volar Forearm Filet Flap for Forequarter Amputation: Description of Operative Technique |
title_fullStr |
Targeted Muscle Reinnervation and the Volar Forearm Filet Flap for Forequarter Amputation: Description of Operative Technique |
title_full_unstemmed |
Targeted Muscle Reinnervation and the Volar Forearm Filet Flap for Forequarter Amputation: Description of Operative Technique |
title_sort |
targeted muscle reinnervation and the volar forearm filet flap for forequarter amputation: description of operative technique |
publisher |
Elsevier |
series |
Journal of Hand Surgery Global Online |
issn |
2589-5141 |
publishDate |
2020-09-01 |
description |
Targeted muscle reinnervation after upper-extremity amputation has demonstrated improved outcomes with myoelectric prosthesis function and postoperative neuropathic pain. This technique has been established in the setting of shoulder disarticulation as well as transhumeral and transradial amputations, but a detailed technique of targeted muscle reinnervation with free tissue transfer from the volar forearm after forequarter amputation has not yet been described. Here, we describe a technique using a volar forearm filet flap to achieve simultaneously satisfactory soft tissue coverage after resection of a tumor from the chest wall and targeted muscle reinnervation of the brachial plexus. |
topic |
Filet flap Forequarter amputation Targeted muscle reinnervation Upper extremity amputation |
url |
http://www.sciencedirect.com/science/article/pii/S2589514120300529 |
work_keys_str_mv |
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