Transradial Amputation With Pedicled Pronator Quadratus Interposition and Advanced Neuroma-Prevention Techniques.

J Hand Surg Am · Dec 2021 · Review

Bartoletta JJ, Israel JS, Rhee PC

Division of Hand Surgery, Department of Orthopedic Surgery, Mayo Clinic, Minnesota

Hand & Upper Extremity

SUMMARY — THE REDUCTIONPedicled pronator quadratus interposition between radius and ulna with advanced neuroma techniques reduces complications after transradial amputation.
Abstract, as published

Transradial amputation is a reconstructive option for upper-extremity trauma, infection, malignancy, and ischemia. The possible postoperative complications include residual radioulnar impingement and the development of a painful neuroma. In this report, a pedicled pronator quadratus flap interposition between the distal radius and ulna has been described. Additionally, various techniques to mitigate the development of symptomatic neuromas have been described.

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