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trans-radial amputation, commonly referred to as below-elbow or forearm amputation; elbow disarticulation; trans-humeral amputation, commonly referred to as above-elbow amputation; shoulder disarticulation; forequarter amputation; A variant of the trans-radial amputation is the Krukenberg procedure in which the radius and ulna are used to ...
The Krukenberg procedure separates the bony remnants of the forearm into a makeshift pincer. The procedure involves separating the ulna and radius for below-elbow amputations, and in cases of congenital absence of the hand, to provide a pincerlike grasp that is motored by the pronator teres muscle.
Targeted reinnervation has an efferent and an afferent component. Targeted muscle reinnervation is a method by which a spare muscle (the target muscle) of an amputated patient is denervated (its original nerves cut and/or de-activated), then reinnervated with residual nerves of the amputated limb. [1]
The surgical procedure is typically done in two stages, but it is possible to conduct the surgery in one stage. The first stage is the discontinuation of the waste functions by performing a colostomy and ileal conduit in the upper abdominal quadrants. The second stage is the amputation at the lumbar spine. [5] [6]
Brachial plexus block is a regional anesthesia technique that is sometimes employed as an alternative or as an adjunct to general anesthesia for surgery of the upper extremity. This technique involves the injection of local anesthetic agents in close proximity to the brachial plexus , temporarily blocking the sensation and ability to move the ...
It was largely abandoned due to complications from general anesthesia and due to the type of nonspecific manipulation procedures used. It was modified and revived in the 1990s, primarily by chiropractors , and also by osteopathic physicians; this was likely due to safer anesthesia used for conscious sedation , along with increased interest in ...
Arthroplasty is an orthopedic surgery where the articular surface of a musculoskeletal joint is replaced, remodeled, or realigned by osteotomy or some other procedure. [25] It is an elective procedure that is done to relieve pain and restore function to the joint after damage by arthritis (rheumasurgery) or some other type of trauma. [25]
Fasciotomy or fasciectomy is a surgical procedure where the fascia is cut to relieve tension or pressure in order to treat the resulting loss of circulation to an area of tissue or muscle. [1] Fasciotomy is a limb-saving procedure when used to treat acute compartment syndrome. It is also sometimes used to treat chronic compartment stress syndrome.