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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.
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 ...
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]
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 ...
Hand transplantation, or simply a hand transplant, is a surgical procedure to transplant a hand from one human to another. The donor hand, usually from a brain-dead donor, is transplanted to a recipient amputee. Most hand transplants to date have been performed on below-elbow amputees, although above-elbow transplants are gaining popularity.
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]
Hemicorporectomy is the surgical amputation of the entire body below the waist, including the legs, genitalia, urinary system, pelvic bones, anus, and rectum. Hemilaminectomy is the surgical trimming or partial removal of the lamina portion of a spinal vertebra. Hemipelvectomy is the surgical removal of half of the pelvis and one of the legs ...
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 ...