Traumatic and trauma-related amputations: Part II: Upper extremity and future directions

Scott M. Tintle, Martin F. Baechler, George P. Nanos, Jonathan A. Forsberg, Benjamin K. Potter

Research output: Contribution to journalReview articlepeer-review

108 Scopus citations


▶ Trauma is the most common reason for amputation of the upper extremity. ▶ The morphologic and functional distinctions between the upper and lower extremities render the surgical techniques and decision-making different in many key respects. ▶ Acceptance of the prosthesis and the outcomes are improved by performing a transradial rather than a more proximal amputation. Substantial efforts, including free tissue transfers when necessary, should be made to salvage the elbow. ▶ Careful management of the peripheral nerves is critical to minimize painful neuroma formation while preserving options for possible future utilization in targeted muscle reinnervation and use of a myoelectric prosthesis. ▶ Rapid developments with targeted muscle reinnervation, myoelectric prostheses, and composite tissue allo-transplantation may dramatically alter surgical treatment algorithms in the near future for patients with severe upper-extremity trauma.

Original languageEnglish
Pages (from-to)2934-2945
Number of pages12
JournalJournal of Bone and Joint Surgery
Issue number18
StatePublished - 15 Dec 2010
Externally publishedYes


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