{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T01:48:52Z","timestamp":1791942532347,"version":"4.3.4"},"reference-count":14,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,2,13]],"date-time":"2021-02-13T00:00:00Z","timestamp":1613174400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Targeted muscle reinnervation enables native muscles to send electromyographic signals to myoelectric receptors, which drive movements in a prosthesis. This system requires voluntary contracture of muscles for sequential control of powered prosthetic joints. This report describes a surgical solution for cases where the chest wall is depleted of muscle targets. A 13\u2010year\u2010old boy with left forequarter amputation and pectoralis major resection as a result of extended necrotizing facilities 8\u2009years prior received a neurotized free Vertical Rectus Abdominus Mycocutaneous (VRAM) flap (28\u2009\u00d7\u200910\u00a0cm) designed to produce myoelectric signals, reduce pain, and provide stability for prosthetic fitting. Five intercostal nerves from the VRAM were coapted to portions of the brachial plexus to create a myoelectric interface for targeted muscle reinnervation. The postoperative course was uneventful. At 39\u2009months of follow\u2010up, the patient gained control of the transferred VRAM and was able to operate a custom\u2010fitted myoelectric prosthesis together with contraction of the ipsilateral infraspinatus muscle. The neurotized VRAM transfer created a neural interface in an area with depleted neuromuscular targets while decreasing pain and adding tissue bulk for proper prosthesis fitting. Such a surgical strategy may have applications in other areas of the body.<\/jats:p>","DOI":"10.1002\/micr.30722","type":"journal-article","created":{"date-parts":[[2021,2,13]],"date-time":"2021-02-13T12:01:03Z","timestamp":1613217663000},"page":"557-561","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Neurotized free <scp>VRAM<\/scp> used to create myoelectric signals in a muscle\u2010depleted area for targeted muscle reinnervation for intuitive prosthesis control: A case report"],"prefix":"10.1002","volume":"41","author":[{"given":"Jialun","family":"Li","sequence":"first","affiliation":[{"name":"Division of Plastic Surgery Mayo Clinic  Rochester Minnesota USA"},{"name":"Department of Plastic Surgery, Union Hospital Tongji Medical College, Huazhong University of Science and Technology  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tony Chieh\u2010Ting","family":"Huang","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arif R.","family":"Chaudhry","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"Cantwell","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3125-7621","authenticated-orcid":false,"given":"Steven L.","family":"Moran","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,13]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/wound.2016.0717"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2011.02.020"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2020.01.002"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1544166"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181b038c9"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003088"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000242487.62487.fb"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2019.07.008"},{"key":"e_1_2_6_10_1","first-page":"322","article-title":"Selective activation of the rectus abdominis muscle during low\u2010intensity and fatiguing tasks","volume":"10","author":"Marchetti P. H.","year":"2011","journal-title":"Journal of Sports Science and Medicine"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1109\/TNSRE.2007.911817"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelekin.2007.01.003"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2020.01.004"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638280410001708878"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000001038"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30722","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/micr.30722","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30722","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T02:19:59Z","timestamp":1693361999000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.30722"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,13]]},"references-count":14,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1002\/micr.30722"],"URL":"https:\/\/doi.org\/10.1002\/micr.30722","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,13]]},"assertion":[{"value":"2019-12-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}