Fitzgibbons Peter, Medvedev Gleb
J Am Acad Orthop Surg. 2015 Dec;23(12):751-60. doi: 10.5435/JAAOS-D-14-00302. Epub 2015 Nov 2.
Upper extremity amputation is an uncommon but often necessary procedure. It can be required as a result of trauma, infection, or malignancy. Amputation is a life-changing procedure. Careful planning for it must not only include the level of amputation and assurance of durable soft-tissue coverage of the amputation site, but it must also consider patients' goals and occupations, as well as social factors affecting amputees. The choice of prosthesis is an individual matter, but new technology permits lighter and more multifunctional prostheses. Targeted muscle reinnervation can be used to achieve improved myoelectric signaling and possibly decrease limb pain following amputation. Rehabilitation is crucial to achieving favorable results.
上肢截肢是一种不常见但往往必要的手术。它可能因创伤、感染或恶性肿瘤而需要进行。截肢是一个改变生活的手术。对此进行仔细规划不仅必须包括截肢水平以及确保截肢部位有持久的软组织覆盖，还必须考虑患者的目标和职业，以及影响截肢者的社会因素。假肢的选择因人而异，但新技术使假肢更轻且功能更多样。靶向肌肉再支配可用于改善肌电信号，并可能减轻截肢后的肢体疼痛。康复对于取得良好效果至关重要。
