Optimizing Transhumeral Amputations

Description

This video presentation features Martin Griffis from the Division of Hand and Upper Extremity Surgery at NYU Langone Orthopedics. It focuses on optimizing trans humeral amputations, which are often performed due to trauma in individuals, particularly young men. The video discusses various indications for such procedures, including brachial plexus injuries, malignancies, severe contractures, congenital deformities, peripheral vascular disease, and irreparable vascular injuries.



Key considerations before performing a trans humeral amputation include understanding patient goals and expectations, along with a thorough discussion of treatment options. Emphasizing a multidisciplinary approach, the presentation outlines how proper planning can improve patient outcomes and satisfaction while reducing complications.



The video details aspects of amputation surgery, such as anesthesia options and the surgical technique involved in the procedure. This includes making incisions, identifying and transecting major nerves, muscle resection, and osteotomy techniques. Detailed instructions on proper humeral length and reconstruction methods for effective prosthetic fitting are also provided.



Additionally, the video addresses addressing postoperative care, the management of neuromas, and the benefits of techniques like targeted muscle reinnervation (TMR) and regenerative peripheral nerve interfaces (RPNI). Lastly, it concludes with a summary of the potential benefits of trans humeral amputations, the success of neuroma management strategies, and mentions future advancements like osseointegration that could further enhance functional outcomes.

Specialties