Journal article
Optimizing Transhumeral Amputations
OPERATIVE TECHNIQUES IN ORTHOPAEDICS, v 33(3), 101057
Sep 2023
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Transhumeral amputations have historically been plagued by high rates of neuroma formation, neuropathic pain, poor prosthetic fitting, and low prosthesis use rates. Recent advances in adjunct surgical techniques are promising for excellent reconstructive and functional outcomes for these patients. A surgical approach addressing all aspects of the residual extremity, including bone, soft tissues, and nerves, will result in superior outcomes and fewer complications. Humeral osteotomy techniques shorten the residual extremity to create a lever arm, which improves prosthetic fit and functionality. Use of myodesis and myoplasty provides a stable soft tissue envelope around the residual bone ends to minimize tissue redundancy. Nerve interface procedures, such as targeted muscle reinnervation (TMR) and regenerative peripheral nerve interface (RPNI), reduce the likelihood of neuroma formation and rates of phantom limb pain while increasing the number of electromyographic signals that can be detected by a myoelectric prosthesis. Osseointegration, a promising new bone-anchored prosthesis technology, may further improve functional outcomes for transhumeral amputees. A multidisciplinary team, including orthopedic surgeons, mental health professionals, occupational therapists, and physical therapists, can improve patient quality of life and functional outcome postoperatively. Oper Tech Orthop 33:101057 (c) 2023 Elsevier Inc. All rights reserved.
Metrics
5 Record Views
Details
- Title
- Optimizing Transhumeral Amputations
- Publication Details
- OPERATIVE TECHNIQUES IN ORTHOPAEDICS, v 33(3), 101057
- Publisher
- W B SAUNDERS CO-ELSEVIER INC; PHILADELPHIA
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:001110206900001
- Scopus ID
- 2-s2.0-85173161240
- Other Identifier
- 991021861184704721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Orthopedics