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Targeted Muscle Re-innervation in the Tibial Turn-Up-Plasty Patient: Surgical Technique, Functional Status, and Patient-Reported Pain Outcomes
Andrew L. O'Brien, MD, MPH; Nina Livermore, BS; Jennifer Fugitt PR, MPT, OCS; Amy Compston PT, DPT, CRT, CLT-LANA; Julie West, MS, PA-C; Ian L. Valerio, MD, MBA; and Steven A. Schulz, MD
The Ohio State University College of Medicine
2020-02-15
Presenter: Nina Livermore, BS
Affidavit:
This abstract has not been previously published in any scientific journal nor presented in any major meeting and represents original work by the submitting student and associated authors.
Director Name: Gregory D. Pearson, MD
Author Category: Medical Student
Presentation Category: Clinical
Abstract Category: General Reconstruction
A tibial turn-up-plasty is a unique procedure that serves to preserve residual limb length with healthy, distal composite tissue in patients who would otherwise require more debilitation proximal amputations. The novel addition of Targeted Muscle Reinnervation may also confer prophylactic control of residual and phantom limb pain. This article serves to discuss the surgical technique for the tibial turn-up-plasty and targeted muscle reinnervation, present objective functional outcomes, and patient-reported pain outcomes of two patients who underwent this unique procedure. Together, targeted muscle reinnervation and the tibial turn-up-plasty enables patients to utilize their prostheses and live pain-free lives by ultimately allowing patients to function independently and improve their quality of life.
