Upper Extremity Amputations (Subscribe)  

Single ray amputation after hand trauma or infection can result in good aesthetic and functional outcomes. The role of this procedure in the management of aggressive benign or malignant hand tumors has been described only in case reports and small case series.
Our study suggests single ray amputation for hand tumors...

Notes on amputations from finger tip to wrist disarticulation.
Wheeless' Textbook of Orthopaedics

An amputation is the removal of an extremity or appendage from the body. Amputations in the upper extremity can occur as a result of trauma, or they can be performed in the treatment of congenital or acquired conditions. Although successful replantation represents a technical triumph to the surgeon, the patient's...

Upper extremity amputations largely follow the same basic principles as those of any amputation. This article highlights the special considerations involved in acquired amputations at or above the elbow. Below-elbow amputations are discussed in separate articles. Although acquired amputations in children are discussed (because pediatric patients deserve special consideration), patients...

Fingertip injuries are the most common injuries of the hand, and appropriate treatment depends on the type of injury and the involvement of other digits. Fingertip amputation occurs distal to the insertion of flexor or extensor tendons into the distal phalanx. Numerous techniques are available for fingertip amputation, and the primary...

Since the first replant 40 years ago, thousands of severed body parts have been reattached, preserving the quality of life for thousands of patients through improved function and appearance that the void remaining after amputation cannot provide. Ronald Malt performed the first replantation on May 23, 1962 at Massachusetts General...

This patient had a thumb tip avulsive amputation treated elsewhere with a V-Y advancement flap. There was inadequate soft tissue cover, terminal digital neuromas, poor vascularity of the tip, constant aching pain and persistent tenderness. Out of the variety of treatment options, including another try to add more skin to...

Hand ischemia in renal failure can be exacerbated by vascular steal effect distal to a dialysis fistula. In this patient, a trivial finger trauma led to a non healing wound which progressed to osteomyelitis deep to the wound. Infected open wounds involving the hands of dialysis patients usually require excision...

Amputations of the upper extremity largely follow the same basic principles as those of any amputated limb, some of which are covered in this article. However, the primary purpose of this article is to highlight the special considerations involved in acquired amputations at the wrist and forearm (below the elbow)....