Targeted Muscle Reinnervation Cadaver Lecture and Lab Thu, Sep 19 1:00-5:00 p.m.

This course is designed to provide a general overview of the indications, techniques, and outcomes for targeted muscle reinnervation in both the upper and the lower extremities.

This course will begin with didactic lectures about the anatomy, workup, and indications for this operation. The beginning aspect of the session will take approximately 45 minutes and will also incorporate a broader discussion about the changing approach to amputees and options for neuroma management. Manuscripts pertaining to surgical techniques will be reviewed.

Following the didactic lectures, participants will move into the lab and will perform structured dissection of the donor and recipient nerves required to perform targeted muscle reinnervation. Depending on the type and number of cadavers available, attendees will focus on (1) trans-humeral, (2) trans-radial, (3) trans-metacarpal, (4) above knee, and (5) below knee amputations. Faculty will focus on the surgical approach and the technical pearls for execution. T

After the cadaveric dissection, the course will transition back to a lecture format and will review current outcome data and pearls for building one’s practice related to TMR .

Upon completion of this activity, the learner will be able to

  1. identify the indications for targeted muscle reinnervation in amputee and non amputee patients
  2. discuss the different techniques including the donor and recipient nerves for common TMR procedures
  3. execute the most common targeted muscle reinnervation procedures in the upper and lower extremity
  4. outline the steps for performing TMR and the peri-operative and post-operative management involved
  5. list specific ways to build a practice of targeted muscle reinnervation