title: [Modified Krukenberg-plasty with callus distraction of the stump and complete skin closure of both forearm branches].
abstract: In 1917, Hermann Krukenberg first reported on the conversion of a forearm stump into tongs by separating the ulna and radius in a bilateral forearm amputee. Up to now, this technique still has its indication in patients with bilateral loss of the hand or forearm. The main problem is still the coverage of both forearm branches with sensitive skin, especially when the muscles are preserved for surface management and strength. The two case reports of bilateral amputation injuries of the upper extremities illustrate our modification of the Krukenberg procedure. First, callus distraction of the short forearm stump by an external fixator was used in one case. After implantation of tissue expanders, enough sensitive skin was gained to resurface both arms of the Krukenberg forearm during a second procedure in both patients nearly completely.
authors.affiliation: Abteilung für Hand- und Mikrochirurgie, Kantonsspitals St. Gallen.
authors.forename: R
authors.initials: R
authors.lastname: Stober
authors.forename: S
authors.initials: S
authors.lastname: Traub
mesh_terms: D000328:Adult; D000672:Amputation Stumps / Q000601:surgery*; D002648:Child; D016267:External Fixators; D006801:Humans; D008297:Male; D019857:Osteogenesis, Distraction / Q000295:instrumentation*; D011183:Postoperative Complications / Q000601:surgery; D011884:Radius / Q000601:surgery*; D012086:Reoperation; D015625:Tissue Expansion Devices; D014457:Ulna / Q000601:surgery*
vernacular_title: Die modifizierte Krukenberg-Plastik mit Kallusdistraktion des Stumpfes und vollständigem Hautverschluss der Branchen.