VS02 - Optimizing Below-Knee Amputation With Targeted Muscle Reinnervation and Cryoanalgesia

Wednesday, June 10, 2026

9:08 AM - 9:17 AM ET

Location: Hynes CC, Third Level, Ballroom B

Submitting & Presenting Author(s)

VARNICA BAJAJ, MD

General Surgery Resident
University of Nebraska Medical Center
Omaha, Nebraska

Co-Author(s)

MS

Monica Silva
IP

Iraklis I. Pipinos

Vascular Surgeon and Professor
University of Nebraska Medical Center
Omaha, Nebraska

Senior Author Discussant(s)

JT

Jonathan R. Thompson, MD

Associate Professor
University of Nebraska Medical Center
Omaha, Nebraska

Summary: This video demonstrates the optimization of a below-the-knee amputation using targeted muscle reinnervation (TMR) and intraoperative cryoanalgesia. After careful identification and preservation of all major sensory nerves, cryoblock is performed. Cryoblock assists with early postoperative pain control, and is followed by TMR coaptations of each nerve to appropriate motor targets to reduce neuroma formation and phantom pain.