Dear List Members,
A physiatrist has been asked to consult with a surgeon re: recommendations as to surgical level for the revision of a transradial amputee. He asked me to seek out the opinions of prosthetists on our listserv.
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The revision surgery has become necessary primarily due to unstable graft sites. The remaining viable tissue would result in a short residual limb length.
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The primary question is whether there are guidelines for minimum limb length for a B/E amputation, before considering a revision above the elbow. Among the factors that have been discussed are functional elbow range of motion; length of lever for lifting prosthetic forearm/terminal device; limb loading issues with a short residuum; muscle retention for external power px; etc.
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Any input from your positive or negative experiences in fitting similar patients would be appreciated. Also, any guidelines as to minimum length landmarks would also be very helpful.
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Thank you in advance for your assistance.
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Dennis Farrell, CP
Milwaukee, WI US
