上肢截肢的管理

Management of upper limb amputations.

作者信息

Marchessault Jeffrey A, McKay Patricia L, Hammert Warren C

机构信息

Walter Reed National Military Medical Center, Integrated Department of Orthopedics and Rehabilitation, 8901 Wisconsin Avenue, Bethesda, MD20889, USA.

出版信息

J Hand Surg Am. 2011 Oct;36(10):1718-26. doi: 10.1016/j.jhsa.2011.07.025.

DOI:10.1016/j.jhsa.2011.07.025

PMID:21971061

Abstract

Acquired upper extremity amputations beyond the finger can have substantial physical, psychological, social, and economic consequences for the patient. The hand surgeon is one of a team of specialists in the care of these patients, but the surgeon plays a critical role in the surgical management of these wounds. The execution of a successful amputation at each level of the limb allows maximum use of the residual extremity, with or without a prosthesis, and minimizes the known complications of these injuries. This article reviews current surgical options in performing and managing upper extremity amputations proximal to the finger.

摘要

除手指以外的后天性上肢截肢会给患者带来重大的身体、心理、社会和经济后果。手外科医生是照顾这些患者的专家团队成员之一，但外科医生在这些伤口的手术管理中起着关键作用。在肢体的每个层面成功实施截肢手术，无论是否使用假肢，都能最大程度地利用残肢，并将这些损伤的已知并发症降至最低。本文综述了在手指近端进行和管理上肢截肢的当前手术选择。