Orthopedics · Amputations, Prosthetics, Orthotics and Rehabilitation

The Krukenberg procedure is an amputation-related reconstructive option performed on the forearm. Its main indication and benefit are best described as:

  • A Lengthening a short below-elbow stump to improve cosmetic appearance
  • B Restoring pronation and supination in a stiff elbow
  • C Creating a sensate pincer between radius and ulna sides, useful in blind bilateral amputees
  • D Improving the fit of a myoelectric prosthetic terminal device
Correct answer: C. Creating a sensate pincer between radius and ulna sides, useful in blind bilateral amputees

Explanation

The Krukenberg operation separates the forearm into radial and ulnar rays that act as a forceps with intact tactile sensation. It is classically indicated in blind patients with bilateral below-elbow amputations, because vision cannot substitute for lost touch in using a conventional prosthesis. Cosmesis is actually poor, which rules out option A, and the elbow itself is left undisturbed.

Reference: Apley and Solomon's System of Orthopaedics and Trauma, 10th ed.

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