Levels of Amputation
Levels of Amputation
What does ‘amputation level’ mean?
Amputation level is used to describe at which location
of the body part is amputated.
The doctor determines the amputation level before the
operation and is based on the reason for the amputation. Usually, a prosthetist
is normally consulted as well in order to clarify which amputation level is
suitable for fitting of the prosthesis.
Metacarpal amputation
There are many different amputation levels in the
hand. They range from a digit or finger amputation, to a metacarpal amputation
through the bones of the hand.
When there is less need for—or difficulty in fitting—a
prosthesis that offers increased function, Cosmetic silicone prostheses are
sometimes used. However, a prosthesis not always used with hand
1st:
Wrist disarticulation
For transcarpal,also known as ‘Below elbow’
amputations, the amputation occurs through the radius and the metacarpal bones.
2nd:
Transradial Amputation
For transradial amputations, the amputation occurs
through the radius and ulna of the lower arm.
The transradial prosthesis would consist of a socket,
which contains the residual limb. The amputated limb is referred to as the
‘stump’, the prosthetic wrist, and a terminal device, which can be a hand, a
hook or a Greifer.
There would also be adapters and other connecting elements.and
a prosthesis can be disguised with a cosmetic cover so that it is hardly
noticeable visually.
3rd:
Elbow disarticulation
In elbow disarticulation surgery the elbow joint is
separated and the lower arm is removed however the entire upper arm, the
humerus bone is maintained.
The prosthesis if chosen would consist of a socket,
which contains the residual limb, a prosthetic elbow joint, a prosthetic wrist
a terminal device, which can be a hand, a hook or a Greifer.
4th:
Transhumeral amputation
In a transhumeral amputation also known as ‘above the
elbow, the amputation occurs through the upper arm bone the humerus, so that
the elbow is no longer present.
5th:
Shoulder disarticulation
Shoulder disarticulation, the amputation would be
performed where the upper arm bone humerus meets the rest of the shoulder
clavicle and scapula.
6th:
Forequarter (or ‘Interscapular Thoracic’)
amputation
With a forequarter amputation, the upper arm bone
humerus scapula, and clavicle, are all removed.
7th:

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