Current Concepts in Lower Extremity Amputation: A Primer for Plastic Surgeons | Journal CME Article-Journal CME Article: Current Concepts in Lower Extremity Amputation: A Primer for Plastic Surgeons v2 of 5

Journal CME Article: Current Concepts in Lower Extremity Amputation: A Primer for Plastic Surgeons v2 of 5

Video Transcription

Video Summary

Jason Sousa discusses the technical aspects of managing neuromas in below-knee amputees through regenerative peripheral nerve interface techniques. The procedure involves locating and preparing nerves, like the tibial and common peroneal nerves, for targeted muscle re-innervation. Important steps include identifying neuromas, dissecting nerves, and ensuring nerve coaptation using sutures to address size mismatches. The goal is to foster coordinated regeneration, which relies on healthy donor nerve fascicles for effective connection with motor nerves like those serving the gastrocnemius and soleus muscles, enhancing post-surgical outcomes.

Keywords

neuromas

regenerative peripheral nerve interface

below-knee amputees

targeted muscle re-innervation

nerve coaptation