Orthopedics · Amputations, Prosthetics, Orthotics and Rehabilitation

A 28-year-old labourer has bilateral transradial amputations following an electrical burn injury and is also blind. Which surgical option is specifically designed to give him a sensate prehensile 'pincer' using his own residual forearm bones?

  • A Boyd amputation
  • B Gritti-Stokes amputation
  • C Krukenberg procedure
  • D Syme amputation
Correct answer: C. Krukenberg procedure

Explanation

The Krukenberg procedure separates the radius and ulna into two mobile rays covered by skin and muscle, creating a sensate forceps-like pincer. Because it preserves tactile feedback between the rays, it is classically indicated in blind patients with bilateral transradial amputations who cannot rely on vision to position a conventional prosthesis. The other options are lower-limb amputation levels and are irrelevant here.

Reference: Campbell's Operative Orthopaedics, 14th ed.

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