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Targeted Muscle Reinnervation: The Starfish Procedure

Upper Extremity Surgical Amputation Procedure.

Presented by Dr. Bryan Loeffler and Dr. Glenn Gaston of the OrthoCarolina Reconstructive Center for Lost Limbs

March 26, 2019

Yes You Could Watch Your Own Surgery + Other Questions from Our Trigger Finger & Carpal Tunnel Live Surgery Answered

When we live streamed from the operating room, our viewers had lots of questions about the surgeries being performed. Our orthopedists have responded with all the answers.

February 27, 2019
operating room orthocarolina

Inside the Operating Room: Trigger Finger and Carpal Tunnel Surgery

OrthoCarolina stepped inside the operating room to live stream a trigger finger and carpal tunnel surgery. 

February 07, 2019

3 Hand-Care Recommendations From an Orthopedist

We think about stretching our backs, massaging our necks and taking care of the part of our bodies that work that hardest, but hands can be overlooked. A specialist offers three ways to give your hardworking hands a little TLC.

January 25, 2019

Five Symptoms That Point to Trigger Finger

The result of overuse, trigger finger is a common but extremely painful condition that can cause the catching, locking and popping of the painful finger.

January 09, 2019

RCLL Visiting Professor Program

The OrthoCarolina RCLL Visiting Professor Program is designed to allow surgeons an unprecedented opportunity to advance their learning and understanding of advancements in the care of upper extremity amputees.

December 18, 2018

Upper Extremity Surgical Amputation Procedures: Targeted Muscle Reinervation and Starfish

Please note, this video includes some graphic scenes associated with the teaching process of orthopedic surgery. Thank you.

November 09, 2018

10 New Physicians Join OrthoCarolina

OrthoCarolina has hired 10 new physicians to support the increasing needs of its patients and communities

September 19, 2018

OC Family Welcome: Meet Dr. Michael Gart

Joining our Hand Center, Dr. Michael Gart specializes in plastic and reconstructive surgery of the hand.

September 05, 2018

Medical Breakthroughs at OrthoCarolina

Explore pioneering medical breakthroughs changing our lives and meet the doctors behind them. On the front lines of your health are tales of desperation, determination and human triumph-from a safer way to manage pain after surgery to groundbreaking techniques that make surgery unnecessary.

July 24, 2018

Current Concepts in Upper-Extremity Amputation

Targeted muscle reinnervation is an evolving technique that improves control of myoelectric prostheses and can prevent or treat symptomatic neuromas.

July 16, 2018

17 OrthoCarolina Physicians Named Charlotte magazine Top Doctor

Each year, Charlotte magazine releases a list of Top Doctors in Charlotte and we're proud to have 17 OrthoCarolina providers represented as the best in the city.

July 03, 2018

Losing a Foot to Save a Life

In 2013, Jenn Andrews’ focus was on her first pregnancy and a little self-care, when a pedicure technician felt a small bump on Jenn’s foot. What seemed so trivial that day would become so important later. That bump was a tumor – myxoid sarcoma, a rare and potentially life-threatening form of cancer. Despite an initial attempt at removing the tumor, it eventually came back, and now Jenn faced a daunting choice five years later: She could cure the cancer only by losing her foot.

May 10, 2018

A Breakthrough in Medical Care: The Starfish Procedure

What is possible if two dedicated doctors come together with an idea to help people who have lost fingers use “their fingers” again? For Eddie Chapman, it means he can tie his shoes. See the full story from WTVI/PBS.

April 23, 2018

This woman survived a shark attack: ‘He had my whole arm in his mouth’

Just 10 months ago, Tiffany Johnson and her husband were snorkeling in the Bahamas when a shark attack changed her life forever: “He had my whole arm in his mouth.” NBC’s Kerry Sanders joins Megyn Kelly TODAY to tell her tale of survival.

April 18, 2018

Introducing the Starfish Procedure

Novel muscle transfer technique enables patients to have improved control of a myoelectric prosthesis

March 19, 2018

ORTHOCAROLINA PHYSICIANS TO PRESENT TEN AAOS PODIUM PRESENTATIONS

OrthoCarolina physicians have been selected through work completed at the OrthoCarolina Research Institute (OCRI) to share research results in ten different podium presentations at the American Academy of Orthopedic Surgeons (AAOS) Annual Meeting.

March 04, 2018

Mind-controlled prosthetics: the next wave of 'smart arms'

A bionic limb is giving hope, and control, back to shark attack victim Tiffany Johnson. .

January 22, 2018

Learn more about our Reconstructive Center for Lost Limbs

Individuals who have amputations address a variety of daily challenges that can significantly affect their lives, including general health and wellness, mobility, independence and more.

January 18, 2018

Game Changers

Allow us to introduce you to some of the most clever visionaries around town.

December 31, 2017

OrthoCarolina Doctors Pioneer New Amputee Surgical Technique

OrthoCarolina hand surgeons Glenn Gaston, M.D., and Bryan Loeffler, M.D., pioneer a targeted muscle reinnervation surgical procedure to help amputee patients like shark attack victim Tiffany Johnson.

September 22, 2017

Doctors Miraculously Give A Shark Attack Victim A New Arm

In this web extra, meet the doctors who are giving her a prosthetic arm so she can return to life and her routines.

September 19, 2017

Gaston and Loeffler honored by the American Academy of Orthopedic Surgeons (AAOS) for their research

Dr. Glenn Gaston and Dr. Bryan Loeffler were recently honored by the American Academy of Orthopedic Surgeons (AAOS) for their research on advancements in upper extremity amputee care at the 2017 AAOS Meeting in San Diego, CA.

July 31, 2017

Doctors Save Shark Bite Victim

Good Day Charlotte's Jason Harper and Page Fehling talk with Dr. Gaston and Dr. Loeffler about saving the life of a local shark bite victim.

June 29, 2017

North Carolina Mom of 3 Who Fought Off Shark While on Vacation Speaks Out: ‘I Remember Pulling My Arm Out of His Mouth’

Tiffany Johnson remembers every second of the shark attack that took most of her right arm.

June 24, 2017

Targeted Muscle Reinnervation Patient (Video 2)

Targeted muscle re-innervation (TMR) is a surgical procedure which involves transferring amputated nerves to activate the remaining muscles in the limb.

June 23, 2017

Targeted Muscle Reinnervation Patient

Targeted muscle re-innervation (TMR) is a surgical procedure which involves transferring amputated nerves to activate the remaining muscles in the limb. This has been shown to be an effective way to cure or prevent neuroma pain (sometimes called "phantom" pain). The surgery also allows enhanced control of myoelectric (sometimes called "bionic") prostheses to perform new functions since there are more muscle signals available in the residual limb. For upper extremity amputees, this can mean far greater control of the elbow, wrist, and hand when using a myoelectric prosthesis.

June 23, 2017

Adjusting To Life After Shark Attack

Friday will mark three weeks since Tiffany Johnson lost her arm in a terrifying shark attack in the Bahamas.

June 22, 2017

Tiffany Johnson, Dr. Bryan Loeffler and WBT 1110am discussing her positive future

Dr. Bryan Loeffler from OrthoCarolina discussing the revolutionary outcome and amazing future for Tiffany Johnson via her targeted muscle reinnervation surgery.

June 20, 2017

Mom bitten by shark getting high-tech prosthetic arm

"There's a new surgery, and it's call targeted muscle reinnervation," said Dr. Glenn Gaston of OrthoCarolina.

June 16, 2017

What is Targeted Muscle Re-innervation (TMR)?

Targeted muscle re-innervation (TMR) is a surgical procedure which involves transferring amputated nerves to activate the remaining muscles in the limb.

June 09, 2017

Research and Presentations

Ongoing research for Targeted Muscle Reinnervation and Muscle Transfer for Independent Digit Control

May 19, 2017

Hand Center

The physicians of the OrthoCarolina Hand Center are orthopedic surgeons who have pursued additional hand and wrist surgery training at the fellowship level in order to provide you with the most up-to-date and comprehensive treatment. In combination with our trained hand therapist and medical staff, they are ready to provide the very best in both surgical and non-surgical evaluation and treatment and have become a center of excellence for the Charlotte area in the treatment of hand problems.

February 19, 2017

NASCAR: Spike in Hip, Wrist Injuries

Femoral acetabular impingement and hook of hamate injuries are on the rise in NASCAR pit crews according to new research presented at the 2017 NASCAR Summit in Concord, North Carolina, on January 10, 2017.
February 01, 2017

Hook of hamate injuries becoming more prevalent among NASCAR pit crews

An epidemiological study of 118 upper extremity injuries in NASCAR pit crews tracked over a 10 year period shows a surge in hook of hamate (a bone in the palm on the small finger side of the wrist) hand injuries in particular among changers and carriers.
January 31, 2017

Femoral acetabular impingement, hook of hamate injuries on rise in NASCAR pit crews

Research study findings presented by Drs. Glenn Gaston, Walter Beaver at NASCAR Summit

January 23, 2017

Femoral Acetabular Impingement in Rear Changers

Femoral acetabular impingement injuries have increased among rear tire changers, according to research done by OrthoCarolina Hip and Knee surgeon Dr. Walter Beaver, who also serves as head team physician for Hendrick Motorsports, and Bill Heisel, director of the OrthoCarolina Motorsports program.
January 22, 2017

Brachial Plexus Clinic Description and Educational

The OrthoCarolina Brachial Plexus team recognizes the importance of treating the entire patient and not just the affected limb.

September 25, 2016

Congenital Hand Clinic Description and Education Info

We use a multidisciplinary approach in caring for congenital differences that affect the hand, wrist, forearm, elbow, upper arm and shoulder

August 28, 2016

Congenital Hand Clinic at the OrthoCarolina Hand Center

1915 Randolph Road, 2nd Floor, Charlotte, NC 28207

August 27, 2016

SURGEONS COMPLETE FIRST PROSTHETIC HAND WITH INDIVIDUAL FINGER CONTROL

Surgeons Glenn Gaston, Bryan Loeffler successfully complete cutting-edge procedure on partial hand amputee
May 31, 2016

Epidemiological Study Tracks Upper Extremity Injury Trends in NASCAR Drivers and Pit Crew

Any sport will cause wear and tear on the bodies of athletes over time, but for a NASCAR pit crew, roles on the team can play a big role in the type of injuries they face.
May 12, 2016

Epidemiological Study Tracks Upper Extremity Injury Trends in NASCAR Drivers and Pit Crew

Hand Surgeon Glenn Gaston; PA William Heisel perform investigation to examine musculoskeletal forces on bodies of motorsports athletes
May 10, 2016

Football player beats the odds to get back to his team

Multiple injuries, including ligament tears and foot drop, leave Alec Parsons on the sidelines

March 18, 2016

NASCAR Medicine

In the Fast Lane with PA Bill Heisel

July 13, 2015

Top Achievements in Charlotte Medicine 2015 - Glenn Gaston

In an effort to improve the quality of care available in their community, these doctors are making Charlotte a leader in medical research, training, and education
June 30, 2015

Treating Position-Specific Injuries in NASCAR: Upper Extremities

Fast fact: As of 2013 there were 3,000 published injury studies on football, 1,000 each on baseball and basketball, 140 on bowling, 43 on arm-wrestling and 7 on tug-of-war. NASCAR injury studies? There were 3.
October 07, 2014

High Five: OrthoCarolina and the Mint Museum Open My Hand Can Exhibit

Special art show displays works by Hand Center patients
August 29, 2014

When Should I Change My Running Shoes?

We know, we know, running shoes aren’t cheap. But, as you use your shoes, mile after mile they eventually begin to lose their cushioning, stability, and shock absorption.

June 06, 2014

Research Update: Mastectomy and Upper Body Extremities

Mastectomy is a common treatment for women with breast cancer. Some patients that need a mastectomy also have to have other lymph node tissue removed from the axillary (armpit) region on the same side that the breast tissue was removed from.

May 27, 2014

See Kristan Run

Kristan Seaford miraculously survived severe complications from the flu, but the loss of blood flow during treatment resulted in the amputation of both hands, her left lower leg and a portion of her right foot...

May 26, 2014

New treatments for Dupuytren's contracture

One in ten Americans will have Dupuytren's contracture, so many of us will have a friend or family member affected by it.

February 10, 2014

Cubital Tunnel Release

July 23, 2013