Targeted muscle reinnervation: a surgical technique of human-machine interface for intelligent prosthesis.
10.7507/1002-1892.202304045
- Author:
Yao GUO
1
;
Wei ZHAO
1
;
Jianping HUANG
2
;
Mingkui SHEN
1
;
Sijing LI
1
;
Cheng LIU
1
;
Xiuyun SU
3
;
Guanglin LI
2
;
Sheng BI
4
;
Guoxian PEI
1
Author Information
1. Medical College of Southern University of Science and Technology, Shenzhen Guangdong, 518055, P. R. China.
2. Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen Guangdong, 518055, P. R. China.
3. Department of Orthopedics, Southern University of Science and Technology Hospital, Shenzhen Guangdong, 518055, P. R. China.
4. National Research Center for Rehabilitation Technical Aids, Beijing, 100176, P. R. China.
- Publication Type:Review
- Keywords:
Intelligent prosthesis;
human-machine interface;
pattern recognition;
surface electromyography;
targeted muscle reinnervation
- MeSH:
Humans;
Artificial Limbs;
Muscle, Skeletal;
Neurosurgical Procedures;
Plastic Surgery Procedures;
Prosthesis Implantation
- From:
Chinese Journal of Reparative and Reconstructive Surgery
2023;37(8):1021-1025
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To review targeted muscle reinnervation (TMR) surgery for the construction of intelligent prosthetic human-machine interface, thus providing a new clinical intervention paradigm for the functional reconstruction of residual limbs in amputees.
METHODS:Extensively consulted relevant literature domestically and abroad and systematically expounded the surgical requirements of intelligent prosthetics, TMR operation plan, target population, prognosis, as well as the development and future of TMR.
RESULTS:TMR facilitates intuitive control of intelligent prostheses in amputees by reconstructing the "brain-spinal cord-peripheral nerve-skeletal muscle" neurotransmission pathway and increasing the surface electromyographic signals required for pattern recognition. TMR surgery for different purposes is suitable for different target populations.
CONCLUSION:TMR surgery has been certified abroad as a transformative technology for improving prosthetic manipulation, and is expected to become a new clinical paradigm for 2 million amputees in China.
