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Surgery of hand and finger amputations
The Orthopedic Clinics of North America
|October 1, 1981
Summary
Effective management of upper limb amputations requires skilled surgical judgment and patient-centered care. Success is measured by the patient
Area of Science:
- Hand surgery
- Surgical management of amputations
Background:
- Upper limb amputations are a significant aspect of hand surgery practice.
- While reattachment offers new possibilities, elective amputations and wound closure after trauma are common.
- These procedures, often perceived negatively, demand meticulous surgical skill and care.
Purpose of the Study:
- To emphasize the critical surgical principles in managing upper limb amputations.
- To highlight the importance of individualized patient care and realistic reconstruction goals.
- To underscore the necessity of considering aesthetic and psychological factors in amputation management.
Main Methods:
- Review of established surgical principles for amputation.
- Consideration of differences between wartime and civilian surgical practices.
- Emphasis on careful patient assessment for secondary procedures.
Main Results:
- Basic surgical principles for amputation are well-established.
- War conditions necessitate different approaches than civilian practice.
- Secondary procedures require thorough evaluation to avoid unrealistic reconstructions.
Conclusions:
- Amputation management requires the same technical skill and judgment as reparative hand surgery.
- Aesthetics and psychological impact are crucial considerations.
- Overall patient recovery and return to normal life define surgical success.