The Biomechanical Impact of Digital Loss and Fusion Following Trauma: Setting the Patient up for Success

Heather L. Baltzer, Steven Lawrence Moran

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

Surgeons managing mutilating hand injures are faced with difficult decisions between attempting to salvage remaining or injured digits or proceeding to amputation and fusion. Through application of a basic understanding of hand biomechanics, the surgeon may more accurately predict what motion and function can best be salvaged. This article provides an explanation of how amputation, fusion, and tendon loss can affect postoperative hand motion. The surgeon can use these concepts in planning the reconstruction or preparing the foundation for secondary reconstructive procedures to achieve the highest functional outcome for the patient.

Original languageEnglish (US)
Pages (from-to)443-463
Number of pages21
JournalHand Clinics
Volume32
Issue number4
DOIs
StatePublished - Nov 1 2016

Keywords

  • Digital amputation
  • Digital replantation
  • Hand biomechanics
  • Mutilating hand trauma

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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