Functional and clinical outcomes in the Krukenberg amputation.

Luo, Weisang; Kim, Yongjune; Tan, Vichet; Ek, Picheata; Hunt, Sophie; Howells, Harriet · J Hand Surg Eur Vol · 2024

case_series · Level IV

Where this comes from

Abstract

We evaluated the outcomes of the Krukenberg procedure conducted for the loss of a hand secondary to an electrical burn injury in six patients (10 hands). Patient demographics, indications for surgery, surgical strategy, complications, clinical measurements and Disabilities of the Arm, Shoulder and Hand (DASH) score were recorded, in addition to subjective outcome measures, including self-perception of social acceptance and employment status. The median DASH score at follow-up was 22 (range 4-50, interquartile range 25). Patients reported recovery of useful function in operated limbs. We recommend this procedure in low-resource settings when other reconstruction is impossible.<b>Level evidence:</b> IV.

Medical subject headings

Anatomy