Forequarter amputation (FQA) is a surgical treatment of tumors in the upper extremity and shoulder girdle that infiltrate the neurovascular. Forequarter or inter scapulothoracic amputation is an uncommonly performed operation for malignant tumours involving the proximal end of humerus and the. Forequarter amputation combined with chest wall resection is a rarely performed procedure. Six patients were treated for advanced malignancies with this.
|Published (Last):||8 October 2010|
|PDF File Size:||17.65 Mb|
|ePub File Size:||12.2 Mb|
|Price:||Free* [*Free Regsitration Required]|
Early and immediate post-surgical prosthetic fitting. Retrieved 19 December Abstract A forequarter amputation is a radical ablative surgical procedure that includes the entire upper extremity with its shoulder girdle.
Electrically powered prostheses for the adult with an upper limb amputation. J Bone Joint Surg Br. Postoperatively he received radiotherapy arid chemotherapy.
Removal of acromial and cora-coid prominences is unnecessary and will further disrupt form as well as reduce leverage for body-powered prostheses. Preservation of the deltoid musculature also facilitates myoelectric control of a prosthesis. The radiographs and biopsy revealed osteogenic sarcoma of the upper end of humerus with soft tissue involvement. Again treatment options were limited by previous radiation to the axillary region.
Development of fasciocutaneous skin flaps for primary closure. The patient had an unusually extensive past oncological history, ampytation included multiple soft tissue sarcomas and chronic lymphocytic leukemia from which he was still alive and apparently free of any metastatic disease. J Bone Joint Surg [Am] ; Her bone and visceral scan forequaeter normal. He experienced only occasional phantom limb pain, which is a common sequela of forequarter amputation.
Management of the upper limb-deficient child with a powered prosthetic device.
Forequarter amputation – Wikipedia
A custom humeral prosthesis 6 or an inter positional metallic device 7 may be implanted for reconstruction. Intraoperative view of the divided clavicle, ligated subclavian artery and vein, and ligated brachial plexus. Research articles conducted on animals, will not be considered for processing or publication in the JPMA.
Forequarter amputation, Interscapulothoracic, Sarcoma, Shoulder girdle, Upper limb. Two years of follow-up since operation have been uneventful without any evidence of metastases. Upper limb salvage using a free radial forearm flap.
The authors have no financial interest to declare in relation to the content of this article. Amputations through the glenohumeral and scapulotho-racic articulations are uncommon. Patients usually prefer a cosmetic arm and hand prosthesis 1. The inferior apex was made at the midaxillary line and continued posteriosuperiorly over the entire length of the scapula to join the superior apical incision. The radial pedicle was dissected and followed until the bifurcation of the common interosseous artery, and the ulnar artery was tied.
After lengthy discussions with the surgical team, the patient and his family decided to undergo a left forequarter amputation.
The first oncological forequarter amputation was reportedly performed by Dixie Crosby in for a case of osteosarcoma. Amputation has also been advocated as a palliative foreauarter for symptomatic, locally advanced disease that has already failed to respond to radiation therapy, chemotherapy and limited surgery 7. Amputation surgery is not an abandoned idea today, but its application tends to be limited to cases of advanced disease that are unmanageable by a less radical approach or in patients with recurrent tumours after conservative treatment in whom limb salvage is not feasible anymore 6.
National Center for Biotechnology InformationU. Unfortunately, in our patient the skin flap and underlying muscle did not survive.
The clavicle is exposed subperiosteally and divided. Recurrent squamous cell carcinoma seen in the well healed skin graft. J Rehabil Res Dev ; Needle-core biopsy of the mass was suggestive of malignant fibrous histiocytoma Figure 3.