Proximal Forearm Transplantation for Below Elbow Amputations: Rationale and Surgical Technique

Proximal forearm replantation presents with multiple challenges. In this paper, we present the unique advantages of transplantation at the level of proximal forearm and contrast this to replantation. We describe the rationale for transplantation following below elbow amputation: the bone level allows fixation and preservation of the functioning elbow joint, and the muscle can be reconstructed above the elbow. The surgical procedure including anatomic dissections is also illustrated.