Current Concepts in Upper-Extremity Amputation.

J Hand Surg Am

Department of Orthopaedic Surgery, Atrium Health, Charlotte, NC; OrthoCarolina Reconstructive Center for Lost Limbs, Charlotte, NC.

Published: July 2018

AI Article Synopsis

  • Advances in motor vehicle safety and trauma care have improved life expectancy and quality of life for patients with upper-extremity amputations.
  • Surgeons have various surgical options to enhance patient outcomes with new prosthetic technologies.
  • Targeted muscle reinnervation is a promising technique that enhances control of myoelectric prostheses and addresses painful neuromas in patients with amputations above the wrist.

Article Abstract

Advances in motor vehicle safety, trauma care, combat body armor, and cancer treatment have enhanced the life expectancy and functional expectations of patients with upper-extremity amputations. Upper-extremity surgeons have multiple surgical options to optimize the potential of emerging prosthetic technologies for this diverse patient group. Targeted muscle reinnervation is an evolving technique that improves control of myoelectric prostheses and can prevent or treat symptomatic neuromas. This review addresses current strategies for the care of patients with amputations proximal to the wrist with an emphasis on recent advancements in surgical techniques and prostheses.

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Source
http://dx.doi.org/10.1016/j.jhsa.2018.03.053DOI Listing

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