Semin Plast Surg 2015; 29(01): 055-061
DOI: 10.1055/s-0035-1544171
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Upper Extremity Amputations and Prosthetics

Steven A. Ovadia
1   Division of Plastic, Aesthetic and Reconstructive Surgery, DeWitt-Daughtry Family Department of Surgery, University of Miami, Leonard Miller School of Medicine, Miami, Florida
,
Morad Askari
1   Division of Plastic, Aesthetic and Reconstructive Surgery, DeWitt-Daughtry Family Department of Surgery, University of Miami, Leonard Miller School of Medicine, Miami, Florida
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Publikationsverlauf

Publikationsdatum:
04. Februar 2015 (online)

Abstract

Upper extremity amputations are most frequently indicated by severe traumatic injuries. The location of the injury will determine the level of amputation. Preservation of extremity length is often a goal. The amputation site will have important implications on the functional status of the patient and options for prosthetic reconstruction. Advances in amputation techniques and prosthetic reconstructions promote improved quality of life. In this article, the authors review the principles of upper extremity amputation, including techniques, amputation sites, and prosthetic reconstructions.

 
  • References

  • 1 Cioffi WG. Upper extremity amputations. In: Cioffi WG, Asenio JA, , eds. Atlas of Trauma: Emergency Surgical Techniques. Philadelphia, PA: Elsevier/Saunders; 2014: 297-320
  • 2 Cuccurullo S. Physical Medicine and Rehabilitation Board Review. New York, NY: Demos Medical; 2004
  • 3 Prucz RB, Friedrich JB. Upper extremity replantation: current concepts. Plast Reconstr Surg 2014; 133 (2) 333-342
  • 4 Levine EA, Warso MA, McCoy DM, Das Gupta TK. Forequarter amputation for soft tissue tumors. Am Surg 1994; 60 (5) 367-370
  • 5 Luna-Ortiz K, Maafs-Molina E, Herrera-Gómez A, Barrera-Franco JL. Is there an indication for palliative surgical procedure of shoulder and upper limb malignancies?. Cir Cir 2003; 71 (2) 102-106
  • 6 Nierlich P, Funovics P, Dominkus M, Aszmann O, Frey M, Klepetko W. Forequarter amputation combined with chest wall resection: a single-center experience. Ann Thorac Surg 2011; 91 (6) 1702-1708
  • 7 Green DP, Wolfe SW. Green's Operative Hand Surgery. Philadelphia, PA: Elsevier/Churchill Livingstone; 2011
  • 8 Bowker JH. Elbow disarticulation and transhumeral amputation. In: Bowker JH, Michael JW, , eds. Atlas of Limb Prosthetics: Surgical, Prosthetic, and Rehabilitation Principles. St. Louis, MO: Mosby Year Book; 1992: 251-264
  • 9 Heppenstall RB, Balderston R, Goodwin C. Pathophysiologic effects distal to a tourniquet in the dog. J Trauma 1979; 19 (4) 234-238
  • 10 Tountas CP, Bergman RA. Tourniquet ischemia: ultrastructural and histochemical observations of ischemic human muscle and of monkey muscle and nerve. J Hand Surg Am 1977; 2 (1) 31-37
  • 11 Rowland LP, Pedley TA, Houston Merritt H. Pathophysiology of neuropathic pain. In: Rowland LP, Pedley TA, , eds. Merritt's Neurology. 12th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2010: 839-840
  • 12 Tupper JW, Booth DM. Treatment of painful neuromas of sensory nerves in the hand: a comparison of traditional and newer methods. J Hand Surg Am 1976; 1 (2) 144-151
  • 13 Dellon AL, Mackinnon SE. Treatment of the painful neuroma by neuroma resection and muscle implantation. Plast Reconstr Surg 1986; 77 (3) 427-438
  • 14 Gorkisch K, Boese-Landgraf J, Vaubel E. Treatment and prevention of amputation neuromas in hand surgery. Plast Reconstr Surg 1984; 73 (2) 293-299
  • 15 Kim PS, Ko JH, O'Shaughnessy KK, Kuiken TA, Pohlmeyer EA, Dumanian GA. The effects of targeted muscle reinnervation on neuromas in a rabbit rectus abdominis flap model. J Hand Surg Am 2012; 37 (8) 1609-1616
  • 16 Swanson AB, Boeve NR, Lumsden RM. The prevention and treatment of amputation neuromata by silicone capping. J Hand Surg Am 1977; 2 (1) 70-78
  • 17 Morrison AD, Sanderson RC, Moos KF. The use of silastic as an orbital implant for reconstruction of orbital wall defects: review of 311 cases treated over 20 years. J Oral Maxillofac Surg 1995; 53 (4) 412-417
  • 18 Rapaport MJ, Vinnik C, Zarem H. Injectable silicone: cause of facial nodules, cellulitis, ulceration, and migration. Aesthetic Plast Surg 1996; 20 (3) 267-276
  • 19 Rank BK, Wakefield AR, Hueston JT. Surgery of Repair as Applied to Hand Injuries. 3rd ed. Edinburgh and London, UK: E & S Livingstone; 1968
  • 20 Graham WP, Kilgore ES, Whitaker LA. Transarticular digital joint amputations: preservation of the articular cartilage. Hand 1973; 5 (1) 58-62
  • 21 Graham III WP, Pataky PE, Whitaker LA , et al. Transarticular joint amputations: the value of preserving articular cartilage. J Surg Res 1973; 14 (6) 524-537
  • 22 Li A, Meunier M, Rennekampff HO, Tenenhaus M. Surgical amputation of the digit: an investigation into the technical variations among hand surgeons. Eplasty 2013; 13: e12
  • 23 Musicus M, Davis AJ. Upper extremity prosthetic design and function. In: Spires MC, Kelly BM, Davis AJ, , eds. Prosthetic Restoration and Rehabilitation of the Upper and Lower Extremity. New York, NY: Demos Medical Publishing; 2013: 167-178
  • 24 Bowker JH. Wrist disarticulation and transradial amputation. In: Bowker JH, Michael JW, , eds. Atlas of Limb Prosthetics: Surgical, Prosthetic, and Rehabilitation Principles. St. Louis, MO: Mosby Year Book; 1992: 237-250
  • 25 Tintle SM, Baechler MF, Nanos III GP, Forsberg JA, Potter BK. Traumatic and trauma-related amputations: Part II: Upper extremity and future directions. J Bone Joint Surg Am 2010; 92 (18) 2934-2945
  • 26 Schreuders TA. The quadriga phenomenon: a review and clinical relevance. J Hand Surg Eur Vol 2012; 37 (6) 513-522
  • 27 Bowker JH. Partial-hand amputations. In: Bowker JH, Michael JW, , eds. Atlas of Limb Prosthetics: Surgical, Prosthetic, and Rehabilitation Principles. St. Louis, MO: Mosby Year Book; 1992: 199-236
  • 28 O'Shaughnessy KD, Dumanian GA, Lipschutz RD, Miller LA, Stubblefield K, Kuiken TA. Targeted reinnervation to improve prosthesis control in transhumeral amputees. A report of three cases. J Bone Joint Surg Am 2008; 90 (2) 393-400
  • 29 Loda G. Thumb reconstruction. In: Atlas of Thumb and Finger Reconstruction. Stuttgart: Thieme; 1999: 79-114
  • 30 Cobb TK, Stocks GW, May WF, Strauss MR, Lewis Jr RC. Thumb reconstruction by metacarpal lengthening after traumatic loss at the level of the interphalangeal joint. Orthop Rev 1990; 19 (1) 47-51
  • 31 Finsen V, Russwurm H. Metacarpal lengthening after traumatic amputation of the thumb. J Bone Joint Surg Br 1996; 78 (1) 133-136
  • 32 Matev I. Thumb metacarpal lengthening. Tech Hand Up Extrem Surg 2003; 7 (4) 157-163
  • 33 Parkes A. The “lumbrical plus” finger. J Bone Joint Surg Br 1971; 53 (2) 236-239
  • 34 Melikyan EY, Beg MS, Woodbridge S, Burke FD. The functional results of ray amputation. Hand Surg 2003; 8 (1) 47-51
  • 35 Peimer CA, Wheeler DR, Barrett A, Goldschmidt PG. Hand function following single ray amputation. J Hand Surg Am 1999; 24 (6) 1245-1248
  • 36 DeLisa JA, Gans BM, Walsh NE. Upper and lower extremity prosthetics. In: DeLisa JA, Gans BM, Bockenek WL, , et al, eds. Physical Medicine and Rehabilitation: Principles and Practice. Philadelphia, PA: Lippincott Williams & Wilkins; 2004: 1325-1354
  • 37 Koulaxouzidis G, Simunovic F, Stark GB. Shoulder silhouette and axilla reconstruction with free composite elbow tissue transfer following interscapulothoracic amputation. J Plast Reconstr Aesthet Surg 2014; 67 (1) 81-86
  • 38 Pasquina PF, Cooper RA. General Surgical Principles for the Combat Casualty with Limb Loss. Care of the Combat Amputee. Falls Church, VA: Office of the Surgeon General, United States Army; 2009
  • 39 Murphy D. Shoulder disarticulation and forequarter amputation. In: Fundamentals of Amputation Care and Prosthetics. New York, NY: Demos Medical; 2014: 177-188
  • 40 Eralp L, Özger H, Eren I, Dikici F. Forequarter amputation as a life-saving procedure. Musculoskelet Surg 2011; 95 (2) 127-130
  • 41 Thorne C. Grabb and Smith's Plastic Surgery. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2014
  • 42 Kuiken TA, Dumanian GA, Lipschutz RD, Miller LA, Stubblefield KA. The use of targeted muscle reinnervation for improved myoelectric prosthesis control in a bilateral shoulder disarticulation amputee. Prosthet Orthot Int 2004; 28 (3) 245-253
  • 43 Kuiken T. Targeted reinnervation for improved prosthetic function. Phys Med Rehabil Clin N Am 2006; 17 (1) 1-13 Review