Acute fingertip and thumb injuries are common and require prompt and meticulous composite soft-tissue repair in incomplete amputations. Complete amputations proximal to the eponychial fold in the thumb or multiple digits may be salvaged by microvascular techniques (see Chapter 63…
Many orthopaedic surgeons consider amputation as a failure to restore function to an individual; however, an amputation should be considered the start of rehabilitation. Major amputations of the upper extremity are classified as being from the wrist distally to the…
Hip disarticulation and the various forms of hemipelvectomy most often are performed for the treatment of primary bone tumors and rarely for metastases, infection, or trauma. Improved treatments with chemotherapy, radiation, and biologics are increasing survival of patients with malignancies,…
Lower limb amputations are the most common of all amputations. Despite advances in revascularization techniques, the most common indication for lower extremity amputation remains a dysvascular limb, including that caused by diabetes mellitus and peripheral vascular disease. Peripheral vascular disease…
As a percent of amputations involving the lower extremity, those around the foot and ankle are becoming increasingly common ( Fig. 15.1 ). With advances in vascular and perfusion assessment and improvements in foot prostheses and footwear, success with ankle…
Amputation is the most ancient of surgical procedures. Advancements in surgical technique and prosthetic design historically were stimulated by the aftermath of war. Early surgical amputation was a crude procedure by which a limb was rapidly severed from an unanesthetized…
This chapter discusses the indications and techniques for arthrodesis of the shoulder and elbow joints as well as the most common tendon transfers performed around the shoulder. Because of the limited function and morbidity after shoulder and elbow arthrodesis, as…
Reconstructive Procedures of the Shoulder Prosthetic replacement of the glenohumeral joint has become accepted as a successful treatment for a variety of degenerative, traumatic, and posttraumatic conditions around the shoulder. Multiple studies with long-term follow-up have demonstrated improvements in pain…
Ankle arthritis is a physically disabling condition, and its treatment can be both challenging and rewarding for the patient and the treating physician. Gait derangement is common in patients with ankle arthritis, and associated pain in the knee, hip, or…
Although many orthopaedic surgeons abandoned ankle arthroplasty because of high failure and complication rates, the continued search for alternatives to ankle arthrodesis for ankle arthritis has led to a renewal of interest. The development of contemporary designs more biomechanically compatible…