Publications by authors named "Juan Manuel Breyer"
Surgical procedures, including nerve reconstruction and end-organ muscle reinnervation, have become more prominent in the prosthetic field over the past decade. Primarily developed to increase the functionality of prosthetic limbs, these surgical procedures have also been found to reduce postamputation neuropathic pain. Today, some of these procedures are performed more frequently for the management and prevention of postamputation pain than for prosthetic fitting, indicating a significant need for effective solutions to postamputation pain.
View Article and Find Full Text PDFArticle Synopsis
- The field of prosthetics has advanced significantly in the last decade, especially in surgical techniques that enhance limb functionality and alleviate neuropathic pain in amputees.
- Targeted Muscle Reinnervation (TMR) is a key surgical method that reroutes severed nerves to reduce postamputation pain and improve the control of prosthetic limbs, demonstrating effectiveness in preventing painful neuromas.
- This article outlines the TMR procedure in detail to support an international clinical trial that will assess its efficacy alongside two other surgical techniques for postamputation pain management across nine clinics in seven countries.
Background: Painful conditions such as residual limb pain (RLP) and phantom limb pain (PLP) can manifest after amputation. The mechanisms underlying such postamputation pains are diverse and should be addressed accordingly. Different surgical treatment methods have shown potential for alleviating RLP due to neuroma formation - commonly known as neuroma pain - and to a lesser degree PLP.
View Article and Find Full Text PDFAn unstable and osteoarthritic distal radioulnar joint presents with considerable functional impairment, pain, and weakness in gripping manipulation of objects. A wide variety of surgical alternatives have been described to address these concerns. Resection arthroplasties include different types of distal ulna resection and soft tissue procedures; good overall results have been described for these types of procedures, although they have shown limitations in achieving and maintaining pain relief and stability, especially in more active patients.
View Article and Find Full Text PDFIntroduction: The shoulder terrible triad (STT) is a traumatic anterior shoulder dislocation, associated with rotator cuff (RC) tear and nerve injury from the brachial plexus. This study aimed to describe the functional results and prognostic factors of surgery in patients with STT.
Methods: Thirty consecutive patients with acute STT were included at the same institution.