ePlasty: Vol. 18
Hand Amputations
Matthew P. Fahrenkopf, MD,a,b Nicholas S. Adams, MD,a,b John P. Kelpin, MD,a,b and Viet H. Do, MDa,b,c

aMichigan State University College of Human Medicine, Grand Rapids; bSpectrum Health/Michigan State University Plastic and Reconstructive Surgery Residency, Grand Rapids; and cOrthopaedic Associates of Michigan, Grand Rapids

Correspondence: matt.fahrenkopf@gmail.com
Keywords: upper extremity, hand, amputation, prosthetics, infection


A 60-year-old man with a medical history of renal disease, diabetes, and peripheral vascular disease presented to the emergency department for left ring finger gangrene and cellulitis (Fig 1). Failure of conservative management resulted in a ring finger revision amputation. With his underlying medical comorbidities, the patient's wound never healed and developed multiple nonhealing wounds of the left hand, necessitating an amputation.

Figure 1. Nonhealing left ring finger revision amputation and newly developed hand wounds.


1. What is the incidence of upper extremity amputation?