Targeted reinnervation: Difference between revisions

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'''Targeted reinnervation''' is a surgical procedure that aims to improve the control of [[prosthetic devices]] by amputees. This technique was developed by Dr. [[Todd Kuiken]] and his team at the [[Rehabilitation Institute of Chicago]] (RIC).


== Overview ==
{{Infobox medical condition
| name = Targeted Reinnervation
| image = <!-- Image removed -->
| caption = <!-- Caption removed -->
| field = [[Neurosurgery]]
| symptoms = Improved [[prosthetic]] control
| complications = [[Neuroma]], [[Phantom limb pain]]
| onset = Post-[[amputation]]
| duration = Long-term
| types = [[Surgical procedure]]
| causes = [[Nerve injury]]
| risks = [[Surgical risks]]
| treatment = [[Surgery]], [[Rehabilitation]]
| prognosis = Improved [[functionality]]
| frequency = Rare
}}


Targeted reinnervation involves the transfer of residual [[nerve]]s, which previously controlled the muscles of the amputated limb, to new muscle sites. These nerves grow into the transferred muscles and provide a means for the amputee to control their prosthetic device. The procedure is most commonly performed on upper limb amputees, but can also be used for lower limb amputees.
'''Targeted Reinnervation''' is a surgical procedure used to improve the control of [[prosthetic limbs]] for individuals who have undergone an [[amputation]]. This technique involves redirecting [[nerves]] that once controlled the [[amputated limb]] to remaining muscles, allowing for more intuitive control of a [[prosthetic device]].
 
== History ==
The concept of targeted reinnervation was developed by Dr. [[Todd Kuiken]] and his team at the [[Rehabilitation Institute of Chicago]]. The first successful procedure was performed in the early 2000s, marking a significant advancement in [[prosthetic technology]].


== Procedure ==
== Procedure ==
 
During the targeted reinnervation procedure, surgeons identify the [[nerves]] that previously controlled the [[amputated limb]]. These nerves are then surgically rerouted to [[target muscles]] in the [[residual limb]]. Once the nerves have reinnervated the target muscles, the electrical signals generated by the nerves can be detected by [[electrodes]] and used to control a [[prosthetic limb]].
The procedure begins with the identification of the residual nerves in the amputated limb. These nerves are then surgically transferred to nearby muscles that are no longer biomechanically functional due to the amputation. Over time, the transferred nerves grow into the new muscle, providing a new means of controlling the prosthetic device.


== Benefits ==
== Benefits ==
Targeted reinnervation offers several benefits over traditional [[prosthetic control]] methods. It allows for more natural and intuitive movements, as the [[user]] can control the prosthetic using the same [[neural pathways]] that were used to control the [[natural limb]]. This can lead to improved [[dexterity]] and [[functionality]] of the prosthetic device.


Targeted reinnervation has several benefits. It provides amputees with improved control of their prosthetic devices, which can lead to increased functionality and independence. Additionally, it can potentially reduce the occurrence of [[phantom limb pain]], a common issue among amputees.
== Complications ==
As with any surgical procedure, targeted reinnervation carries certain risks. Potential complications include the development of [[neuromas]], which are painful nerve growths, and [[phantom limb pain]]. However, many patients report a reduction in [[phantom pain]] following the procedure.


== Risks and Complications ==
== Rehabilitation ==
Post-surgical rehabilitation is crucial for the success of targeted reinnervation. Patients typically undergo extensive [[physical therapy]] to learn how to use their new [[prosthetic limb]] effectively. This may involve [[muscle strengthening]] exercises and [[training]] to improve [[coordination]] and [[control]].


As with any surgical procedure, targeted reinnervation carries some risks. These can include infection, nerve damage, and the potential for the procedure to be unsuccessful. However, the benefits often outweigh the risks for many amputees.
== Future Directions ==
Research into targeted reinnervation is ongoing, with the aim of improving the [[technology]] and expanding its applications. Advances in [[neuroprosthetics]] and [[brain-computer interfaces]] may further enhance the capabilities of prosthetic devices controlled through targeted reinnervation.


== Future Developments ==
== See also ==
* [[Prosthetics]]
* [[Neuroprosthetics]]
* [[Amputation]]
* [[Rehabilitation]]


Research is ongoing to further improve the targeted reinnervation procedure and the prosthetic devices used in conjunction with it. This includes the development of more sophisticated prosthetic devices that can provide sensory feedback, further improving the functionality and realism of the prosthetic limb.
== References ==
{{Reflist}}


[[File:Targeted reinnervation.jpg|thumb|right|A patient undergoing targeted reinnervation surgery]]
== External links ==
* [https://www.example.com Targeted Reinnervation Research]


[[Category:Medical procedures]]
[[Category:Neurosurgery]]
[[Category:Prosthetics]]
[[Category:Prosthetics]]
[[Category:Neurosurgery]]
[[Category:Rehabilitation]]
{{medicine-stub}}
[[Category:Surgical procedures]]

Latest revision as of 21:37, 29 December 2024


Targeted Reinnervation
Synonyms N/A
Pronounce N/A
Specialty N/A
Symptoms Improved prosthetic control
Complications Neuroma, Phantom limb pain
Onset Post-amputation
Duration Long-term
Types Surgical procedure
Causes Nerve injury
Risks Surgical risks
Diagnosis N/A
Differential diagnosis N/A
Prevention N/A
Treatment Surgery, Rehabilitation
Medication N/A
Prognosis Improved functionality
Frequency Rare
Deaths N/A


Targeted Reinnervation is a surgical procedure used to improve the control of prosthetic limbs for individuals who have undergone an amputation. This technique involves redirecting nerves that once controlled the amputated limb to remaining muscles, allowing for more intuitive control of a prosthetic device.

History[edit]

The concept of targeted reinnervation was developed by Dr. Todd Kuiken and his team at the Rehabilitation Institute of Chicago. The first successful procedure was performed in the early 2000s, marking a significant advancement in prosthetic technology.

Procedure[edit]

During the targeted reinnervation procedure, surgeons identify the nerves that previously controlled the amputated limb. These nerves are then surgically rerouted to target muscles in the residual limb. Once the nerves have reinnervated the target muscles, the electrical signals generated by the nerves can be detected by electrodes and used to control a prosthetic limb.

Benefits[edit]

Targeted reinnervation offers several benefits over traditional prosthetic control methods. It allows for more natural and intuitive movements, as the user can control the prosthetic using the same neural pathways that were used to control the natural limb. This can lead to improved dexterity and functionality of the prosthetic device.

Complications[edit]

As with any surgical procedure, targeted reinnervation carries certain risks. Potential complications include the development of neuromas, which are painful nerve growths, and phantom limb pain. However, many patients report a reduction in phantom pain following the procedure.

Rehabilitation[edit]

Post-surgical rehabilitation is crucial for the success of targeted reinnervation. Patients typically undergo extensive physical therapy to learn how to use their new prosthetic limb effectively. This may involve muscle strengthening exercises and training to improve coordination and control.

Future Directions[edit]

Research into targeted reinnervation is ongoing, with the aim of improving the technology and expanding its applications. Advances in neuroprosthetics and brain-computer interfaces may further enhance the capabilities of prosthetic devices controlled through targeted reinnervation.

See also[edit]

References[edit]

<references group="" responsive="1"></references>


External links[edit]