Proximal Phalanx - Midshaft Amputation
This Proximal Phalanx – Midshaft Amputation course will teach you:
- To remove all of the tissue of the finger distal to the midshaft that is damaged by trauma or is diseased due to insufficient blood supply, ongoing infection or malignancy. Closure after amputation should result in proper bone coverage and a pain free, functional stump.
With the following tips you might perform the Proximal Phalanx – Midshaft Amputation even better:
- Amputation site determination
- Prevention of lumbrical plus finger
- Palmar skin for stump coverage
- Skin flap vascularization
- Wound irrigation
- Supporting retraction of flexor tendons
- Careful subcutaneous tissue dissection
- Extent of bone removal
- Prevention of symptomatic neuroma formation
- Unused skin transection
- Local flap options: VY plasty or Homodigital island flap
After studying the Proximal Phalanx – Midshaft Amputation course you are familiar with the most common complications:
- Symptomatic neuroma formation
- Joint contracture adjacent finger
- Phantom pain
- Cold intolerance
- Lumbrical plus finger
You might also be interested in:
Step by step
Proximal phalanx exposure
Identify the metacarpophalangeal joint and determine the level of amputation depending on the location of the injury or pathology, as well as the viability of the tissue.
If the flexor digitorum superficialis tendon insertion site, located on the mid phalanx, cannot be preserved, a joint disarticulation is recommended.
Do you want to take the test of "Proximal Phalanx - Midshaft Amputation"?
Try one of our offerings