[Krukenberg-plasty in young patients]

Area of Science:

• Orthopedic Surgery
• Rehabilitation Medicine
• Biomedical Engineering

Background:

• Congenital bilateral absence of the hands presents a significant functional disability.
• The Krukenberg procedure offers a reconstructive solution for upper limb amputations.
• Standard prosthetic prescriptions are often used as assistive devices for the contralateral limb.

Observation:

• The Krukenberg procedure was performed unilaterally on juvenile amputees with congenital bilateral hand absence.
• Long-term follow-up examinations assessed the functional outcomes and patient satisfaction.
• Contralateral prosthetics were evaluated alongside the Krukenberg stump's performance.

Findings:

• The Krukenberg stump consistently became the dominant, leading hand in all patients.
• Patients achieved sufficient prehension and functional independence with the Krukenberg stump alone.
• Some patients discontinued prosthetic use, prioritizing the stump's sensory feedback and dexterity.
• The procedure demonstrated uncomplicated surgical execution and rapid, effective postoperative rehabilitation.

Implications:

• The Krukenberg procedure significantly improves functional capabilities and quality of life for individuals with bilateral hand loss.
• The enhanced prehension and sensibility of the Krukenberg stump offer a superior alternative to traditional prosthetics in select cases.
• This reconstructive technique warrants broader consideration and application for patients with severe upper limb amputations.