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[Krukenberg-plasty in the E. Marquardt modification].
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|May 1, 1985
Summary
The Krukenberg procedure transforms forearm stumps into functional grasping organs for bilateral amputees, enhancing independence beyond prosthetics. This surgical technique preserves crucial forearm muscles for improved function and sensation.
Area of Science:
- Reconstructive surgery
- Upper extremity reconstruction
- Amputee rehabilitation
Context:
- The Krukenberg procedure offers an alternative for bilateral forearm amputees.
- Traditional prosthetic fitting and training present limitations for some amputees, particularly the blind.
- Modifications to the original 1917 technique have addressed challenges like skin closure.
Purpose:
- To present a modified surgical approach for the Krukenberg procedure.
- To enable the conversion of forearm stumps into grasping organs with tactile sensation.
- To describe a technique suitable for various stump lengths.
Summary:
- A modified Krukenberg procedure utilizes a novel incision for improved skin closure over the radius and ulna.
- This technique preserves essential forearm muscles, vital for vascularization and grasping function.
- The described surgical method is adaptable for both long and short forearm stumps.
Impact:
- Enhances functional independence for bilateral forearm amputees.
- Provides a grasping organ with natural tactile sensation, surpassing prosthetic capabilities.
- Offers a viable reconstructive option, especially for blind amputees, improving quality of life.