Targeted reinnervation

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

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

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

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

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

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

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

• Prosthetics
• Neuroprosthetics
• Amputation
• Rehabilitation

External links

• Targeted Reinnervation Research