Current Concepts in Upper-Extremity Amputation

Authored work of R. Glenn Gaston, MD, and Bryan J. Loeffler, MD

Major upper-extremity amputees account for only 8% of the 1.5 million individuals living with limb loss.1 Upper-extremity amputation is an accepted treatment option for acute trauma or sequelae of traumatic injuries, chronic infection, bone or soft tissue tumors, certain brachial plexus injuries, and complex regional pain syndrome. Regardless of the underlying diagnosis, emphasis is placed on definitively treating the underlying condition, achieving a stable, functional extremity, and minimizing painful sequelae. Patients and providers benefit from a multidisciplinary team consisting of experienced upper-extremity surgeons, skilled prosthetists and/or orthotists, physiatrists, pain management physicians, and therapists.

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