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Current Concepts in Upper-Extremity Amputation.

Sarah N Pierrie1, R Glenn Gaston2, Bryan J Loeffler2

  • 1Department of Orthopaedic Surgery, Atrium Health, Charlotte, NC.

The Journal of Hand Surgery
|June 7, 2018
PubMed
Summary
This summary is machine-generated.

Improved survival and prosthetic options benefit upper-extremity amputation patients. Targeted muscle reinnervation enhances prosthesis control and manages nerve pain, optimizing functional outcomes for amputations proximal to the wrist.

Keywords:
Primary amputationprostheticsreinnervationsurgical reconstructionupper extremity

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Area of Science:

  • Orthopedic Surgery
  • Rehabilitation Medicine
  • Biomedical Engineering

Background:

  • Enhanced life expectancy and functional expectations for patients with upper-extremity amputations.
  • Significant advancements in trauma care, prosthetics, and cancer treatment.
  • Growing need for optimized surgical strategies for amputation care.

Purpose of the Study:

  • To review current strategies for managing upper-extremity amputations proximal to the wrist.
  • To highlight recent advancements in surgical techniques for amputees.
  • To discuss the integration of emerging prosthetic technologies.

Main Methods:

  • Review of current literature on upper-extremity amputations.
  • Analysis of surgical techniques, including targeted muscle reinnervation.
  • Evaluation of advancements in myoelectric prostheses and their control.

Main Results:

  • Targeted muscle reinnervation improves myoelectric prosthesis control.
  • This technique can prevent or treat symptomatic neuromas.
  • Optimized surgical options enhance prosthetic potential for diverse patient groups.

Conclusions:

  • Surgical advancements are crucial for maximizing outcomes in upper-extremity amputees.
  • Targeted muscle reinnervation is a key technique for improved prosthesis function and nerve pain management.
  • A multidisciplinary approach is essential for integrating surgical and prosthetic innovations.