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Krukenberg procedure : ウィキペディア英語版
Krukenberg procedure

The Krukenberg procedure, also known as the Krukenberg operation, is a surgical technique that converts a forearm stump into a pincer. It was first described in 1917 by the German army surgeon Hermann Krukenberg.〔Krukenberg H. (1917). Uber Plastische Umwertung von Amputationstumpfen. Stuttgart: Ferdinand Enke.〕〔Krukenberg H. (1931). Erfahrungen mit der Krukenberg-hand. Arch Klin Chir 165:191 – 201.〕 It remains in use today for certain special cases but is considered controversial and some surgeons refuse to perform it.〔Freire J, Schiappacasse C, Heredia A, Martina JD, Geertzen JH. (2005). (Functional results after a Krukenberg amputation ). Prosthet Orthot Int. 29(1):87-92. PMID 16180381〕
==Procedure==

The procedure involves separating the ulna and radius for below-elbow amputations, and in cases of congenital absence of the hand, to provide a pincerlike grasp that is motored by the pronator teres muscle. The prerequisites for the operation are a stump over 10 cm long from the tip of the olecranon, no elbow contracture, and good psychological preparation and acceptance. 〔Garst, R.J. (1991). (The Krukenberg Hand ) ''The Journal of Bone and Joint Surgery'' 385(3) PMID 1670433〕〔Singh BG, Jain SK, Ravindranath G, Pithawa AK. (2005). (Krukenberg Operation: Revisited ). IJPMR 16 (1) : 20-23〕〔Tubiana R, Stack HG, Hakstian RW. (1966). (Restoration of prehension after severe mutilations of the hand ). J Bone Joint Surg Br. 48(3):455-73. PMID 5330433〕
The success of the Krukenberg procedure depends directly on the strength of the pronator teres, the sensibility of the skin surrounding both ulna and radius, elbow mobility, and mobility of the ulna and radius at the proximal radioulnar joint. Individual patient expectations and motivations, although more difficult to assess, probably play a major role in outcomes as well.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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