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Updated: Mar 29, 2026
07:59
Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers
Published on: October 29, 2021
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Management of Major Traumatic Upper Extremity Amputations.
Mark K Solarz1, Joseph J Thoder1, Saqib Rehman1
1Department of Orthopaedics and Sports Medicine, Temple University Hospital, 3401 North Broad Street, Zone B 5th Floor, Philadelphia, PA 19140, USA.
The Orthopedic Clinics of North America
|November 29, 2015
Summary
Proper surgical techniques and early prosthetic fitting are crucial for traumatic upper extremity amputations. Multidisciplinary care aids functional recovery after limb loss.
Area of Science:
- Orthopedic Surgery
- Rehabilitation Medicine
- Traumatology
Background:
- Traumatic upper extremity amputation presents significant challenges to functional recovery.
- Effective management requires a comprehensive approach encompassing surgical intervention and rehabilitation.
Purpose of the Study:
- To outline optimal surgical and rehabilitative strategies for traumatic upper extremity amputations.
- To emphasize the importance of limb length preservation and early prosthetic fitting.
Main Methods:
- Review of surgical techniques for limb length preservation (e.g., skin grafting, free tissue transfer).
- Discussion of early prosthetic fitting protocols (within 30 days post-surgery).
- Highlighting the role of multidisciplinary care teams.
Main Results:
- Preserving maximal limb length and joint motion improves functional outcomes.
- Early prosthetic fitting facilitates concurrent wound healing, stump maturation, and rehabilitation initiation.
- Multidisciplinary care is integral to comprehensive patient management.
Conclusions:
- Optimal surgical management focuses on preserving limb length and joint mobility.
- Early prosthetic fitting and a multidisciplinary approach are key to successful rehabilitation after traumatic upper extremity amputation.
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