Multiple compound and comminuted fractures in carpometacarpal particularly on the right as well as compound and comminuted fractures on the left distal radial and ulnar bones.
Amputating 100%, but where will depend on the possible presence of any severe lacerations, contusions, and third or fourth degree burns.
At this level of trauma the orthopedist isnt going to get that specific. It’s just going to be a trans carpal traumatic amputation of the left icd-10 S68.412 (Complete) and a traumatic trans metacarpal amputation of the right icd-10 S68.711.
More than likely both will end up being a distal transradial amputations.
It will prob still require a distal radial amputation just to aid in prosthetic fittings. Those carpal bones don’t really do anything for ya but create osteoarthritis if you’re missing the rest of the hand.
They are still custom because people aren’t all exactly the same shape and size even before amputations. That said though I presume you don’t want small pieces of bones or like partial smaller bones beneath a prosthesis. Like it makes sense to keep fingers on a hand. But if it’s just an arm then wrist bones that doesn’t seem ideal. I’m not a doctor. But it seems to me if you have a choice how a limb is severed there’s probably a “best” way to do it.
Multiple compound and comminuted fractures in carpometacarpal particularly on the right as well as compound and comminuted fractures on the left distal radial and ulnar bones.
Amputating 100%, but where will depend on the possible presence of any severe lacerations, contusions, and third or fourth degree burns.
At this level of trauma the orthopedist isnt going to get that specific. It’s just going to be a trans carpal traumatic amputation of the left icd-10 S68.412 (Complete) and a traumatic trans metacarpal amputation of the right icd-10 S68.711.
More than likely both will end up being a distal transradial amputations.
It’s not lupus
doc says they can’t lend a hand
You can tell this man is a doctor because he wants to amputate the hand that is already disconnected.
Gotta get that $$$.
It will prob still require a distal radial amputation just to aid in prosthetic fittings. Those carpal bones don’t really do anything for ya but create osteoarthritis if you’re missing the rest of the hand.
Oh, I’m sorry, were you planning on using those metacarpals for something?
I mean you don’t HAVE to be able to get a prosthesis. If you wanna rock a battle stump you’re welcome to?
Wait… Do you need to cut limbs a certain way to get prosthetics?
That is news to me.
Totally they were custom to every stump - which explained why I heard they are so expensive
They are still custom because people aren’t all exactly the same shape and size even before amputations. That said though I presume you don’t want small pieces of bones or like partial smaller bones beneath a prosthesis. Like it makes sense to keep fingers on a hand. But if it’s just an arm then wrist bones that doesn’t seem ideal. I’m not a doctor. But it seems to me if you have a choice how a limb is severed there’s probably a “best” way to do it.