上肢截肢医学知识专题讲座培训课件.ppt

GeneralPrinciplesDisabilityratingsLossofupperextremity:50%Lossofhand:45%Thumbamputation:23%

IndicationsforAmputationTraumaSevereopenfracturewithextensiveskinandmuscleloss,neurologicinjuryFlaillimb(brachialplexusinjury)TumoursPeripheralvasculardiseaseInfection

BrachialPlexusInjuryIfthearmisflailandpatientdoesnothavescapulothoraciccontrol,thenthepatientisacandidateforAbove-ElbowAmputation.Thisunloadstheshoulderjointandreducessubluxationresultingfromtheweightofthearm.Inthissituation,thepatientwillnotlikelybeabletouseap