Targeted Muscle Reinnervation in the Setting of Traumatic Bilateral Above-Knee Amputations: A Case Report

JBJS Case Connect. 2023 Mar 9;13(1). doi: 10.2106/JBJS.CC.22.00617. eCollection 2023 Jan 1.

Abstract

Case: We present the case of a 20-year-old man who was pedestrian struck and sustained bilateral traumatic above-knee amputations. Targeted muscle reinnervation (TMR) was performed with nerve transfers, including tibial nerve to semitendinosus (bilateral), superficial peroneal nerve to biceps femoris (left), deep peroneal nerve to biceps femoris (left), and common peroneal nerve to biceps femoris (right).

Conclusions: Less than 1 year postoperatively, the patient was ambulating on his myoelectric prosthesis and experienced no Tinel or neuroma-type pain. This case is a testament to the impact TMR, an innovative surgical technique, can have on the quality of life of patients sustaining devastating limb injuries.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Amputation, Surgical*
  • Humans
  • Male
  • Muscles
  • Neurosurgical Procedures
  • Quality of Life*
  • Thigh
  • Young Adult