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Living with Amputation

Before arm amputation

Getting to know the process, the options and the preparation steps before a planned arm surgery may help you approach this period better prepared.

Before arm amputation: Person using a forearm prosthesis standing arm in arm with another person

Overview

Learning that an arm amputation is planned can bring intense emotions. Knowing in advance how the surgery is planned, how recovery may progress and which options may come into consideration can help you go through this period more consciously.

The information below is general, and each person's situation is unique. Only your physician determines the plan and decisions that apply to you. You are advised to discuss any questions you have openly with your treatment team.

Why might amputation be needed?

Arm amputation usually comes into consideration after other treatment options have been evaluated. The decision is made by taking into account factors such as the condition of the limb, the person's general health and the expected recovery.

This assessment is individual and is made only by the physician. The reasons may differ from person to person.

  • Tissue damage that cannot be repaired after a severe injury
  • Serious infections that do not respond to treatment
  • Circulation problems or certain diseases
  • Some congenital differences
Before arm amputation: Fist bump between a myoelectric prosthetic hand and a natural hand

About amputation levels

How is the level determined?

The level is planned by the physician, taking into account the condition of the tissues, the expected recovery and functionality. The aim is to achieve a result that is favorable for healing and as functional as possible.

What do below-elbow and above-elbow mean?

When the elbow joint can be preserved, the level may be planned below the elbow (transradial); when it cannot be preserved, above the elbow (transhumeral). Preserving the elbow may be decisive for the movements of the arm; however, this may not always be possible.

Hand and finger levels

In some cases, amputation may be at the level of the hand, wrist or finger. Each level may require a different rehabilitation and, if considered appropriate, a different prosthetic approach.

Does the level affect the later process?

The level may affect the rehabilitation plan and, if considered appropriate, the prosthetic options. For this reason, the decision is made with long-term functionality also in mind. The details should be discussed with your physician.

Preparation

How can you prepare for surgery?

1

Getting information

Discussing the process and the recovery period with your treatment team may help reduce uncertainty and clarify expectations.

2

Physical preparation

Supporting general health and carrying out the preparations recommended by the physician may contribute to the recovery period. These are planned under the physician's guidance.

3

Emotional preparation

Experiencing anxiety and mixed emotions during this period is normal. Getting support from your loved ones or, if considered appropriate, from a professional may help.

4

Communication and support

Contact with people who have gone through similar experiences and with support groups may provide guidance during the preparation process.

More on this topic

The headings below provide general information on the different stages of the process. The content does not replace diagnosis or treatment.

Before arm amputation: User supporting a bandaged arm residual limb with the other hand

Recovery after surgery

Healing of the residual limb, reduction of swelling (edema) and bandaging are important parts of the early period.

Before arm amputation: Clinical assessment of an arm residual limb and prosthetic socket

Moving forward with a prosthesis

When recovery is sufficient and the physician considers it appropriate, arm prosthesis options may be evaluated.

Before arm amputation: Fist bump between a myoelectric prosthetic hand and a natural hand

Support and sharing

Contact with people who share similar experiences may contribute to motivation during the adaptation process.

This content is for information purposes only; consult your physician for diagnosis and treatment. Amputation and rehabilitation decisions and prosthetic fittings are carried out at our licensed center addresses in line with a specialist physician's assessment and prescription/medical report.