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Updated: Aug 29, 2025

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Modified Transhumeral Amputation: A Case Report.

Alexandra Stanovski1, Dror Raviv2, Yusef Azraq3

  • 1Department of Orthopedic Surgery, Hebrew University Hadassah Medical Centers, Jerusalem, Israel.

JBJS Case Connector
|September 13, 2022
PubMed
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A modified transhumeral amputation technique in a child with osteosarcoma prevented bone overgrowth and improved prosthetic fitting. This innovative surgical approach offers better outcomes for pediatric limb amputation cases.

Area of Science:

  • Pediatric Orthopedics
  • Surgical Oncology
  • Limb Reconstruction

Background:

  • Osteosarcoma in children can necessitate limb amputation, posing challenges for growth and prosthetic use.
  • Transhumeral amputation requires careful surgical planning to accommodate bone overgrowth and ensure optimal prosthetic integration.

Observation:

  • A 7-year-old boy with ulna osteosarcoma underwent a transhumeral amputation after neoadjuvant chemotherapy.
  • A modified amputation technique involved acute shortening and distal epiphysis preservation to address potential complications.

Findings:

  • The modified amputation successfully prevented bone overgrowth, eliminating the need for stump revision surgeries.
  • This technique provided adequate limb length for prosthetic elbow articulation and a wider stump for superior prosthetic fitting.

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Implications:

  • The modified transhumeral amputation technique is a viable and beneficial option for pediatric patients requiring amputation.
  • Preserving the distal epiphysis and employing acute shortening can enhance functional outcomes and reduce long-term surgical interventions in pediatric limb loss.