[Krukenberg-plasty in the E. Marquardt modification]

Abstract

The Krukenberg-procedure to convert a forearm stump into a grasping organ with tactile sensation gives the bilateral forearm-amputee more independence than the exclusive fitting and training with prostheses. The main indication is the blind bilateral forearm-amputee. Since Krukenberg's first publication in 1917 the method has been modified by different authors because of the difficult skin closure of the radial and the ulnar half of the forearm. The proposed incision allows the surgeon to cover both the ulna and the radius grasping surface with skin having normal tactile sensation and avoids excision of forearm muscles. These muscles are important for blood supply and for the quality of grasp. The surgical procedure will be described even in stumps too long or too short.