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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.
Case:
A 7-year-old boy presented with osteosarcoma of the ulna that required a transhumeral amputation. The patient completed neoadjuvant chemotherapy before surgery. To prevent bone overgrowth and improved prosthetic fitting, a modified amputation was performed with acute shortening and distal epiphysis preservation.
Conclusion:
In this modified amputation, bone overgrowth was not seen and repeated surgeries for stump shaping were prevented. The modified technique enabled length for the prosthetic elbow and a wide stump for better fitting. In cases of transhumeral amputation in children, the modified technique should be considered.
