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Modification of Krukenberg's kineplastic operation
Annales Chirurgiae Et Gynaecologiae
|January 1, 1976
Summary
This study details a modified Krukenberg procedure for forearm amputation stumps, preserving muscles and using skin grafts for specific areas. The updated technique aims to improve outcomes for patients with limb differences.
Area of Science:
- Orthopaedic Surgery
- Reconstructive Surgery
Background:
- Krukenberg's procedure, a forcipisation technique for forearm amputation stumps, has been utilized since 1917.
- Recent advancements in surgical techniques for amputation stumps have received limited attention.
Purpose of the Study:
- To present a modified Krukenberg procedure for forearm amputation stumps.
- To evaluate the efficacy of this modified surgical approach.
Main Methods:
- A modified U-shaped incision was used to split the forearm skin, preserving all muscles.
- The interdigital commissure was reconstructed using two triangular flaps.
- A free split skin graft was applied to the radial branch defect, avoiding the contact surface.
Main Results:
- Nine hands in seven patients were operated on between 1969 and 1973 using the modified technique.
- The study details the surgical modifications and application of skin grafts.
Conclusions:
- The modified Krukenberg procedure offers a viable reconstructive option for forearm amputation stumps.
- This technique preserves muscle function and utilizes skin grafts strategically.