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 v5 of 5

Journal CME Article: Current Concepts in Lower Extremity Amputation: A Primer for Plastic Surgeons v5 of 5

Video Transcription

Video Summary

The video describes a surgical procedure to alleviate neuroma and phantom limb pain post-above-knee amputation. The sciatic nerve is exposed via posterior midline incision between the hamstrings. A vascularized directed muscle target (VDMT) is created by leveraging vascular supply from nearby muscles. The surgeon implants the sciatic nerve into this VDMT to manage the pain. The process involves vessel loop placement, muscle flap elevation, ensuring vascular and denervated status, and meticulous nerve sectioning. The nerve is anesthetized, sectioned, and securely implanted into the VDMT, with perfusion confirmed via Doppler ultrasound and visual inspection.

Keywords

neuroma

phantom limb pain

sciatic nerve

vascularized directed muscle target

above-knee amputation