Functional Amputation Reconstruction Clinic

Contact us to see one of our fellowship-trained specialists in San Francisco

Our experienced reconstructive microsurgeons and peripheral nerve surgeons provide customized, comprehensive, modern, and innovative care for individuals facing amputation or limb loss.

We serve patients from San Francisco, Northern California, Southern California, and beyond.

Our Mission

  • Provide modern and innovative amputation reconstruction and limb preservation services to patients with limb loss or the prospect of limb loss

  • Participate in coordinated multidisciplinary care, including:

    • Physical therapy

    • Occupational therapy

    • Hand therapy

    • Prosthetics

    • Mental health services

Our Goal

Help individuals and patients with limb loss or the prospect of limb loss to:

  1. Access the the breadth of modern reconstructive, rehabilitation, prosthetic, and mental health services

  2. Minimize pain

  3. Maximize quality of life

  4. Maximize functional outcomes

Who is a candidate to be seen?

  • Anyone facing the possibility of limb loss or amputation

  • Anyone with existing limb loss or amputation

When should someone be seen?

In short, anytime in your care journey:

  • If facing the possibility of limb loss or amputation

  • At the time of amputation

  • Immediately after undergoing amputation

  • Years after the amputation

What levels of amputation are treated in this clinic?

Upper extremity amputations

  • Single digit (finger or thumb)

  • Multiple digits

  • Partial hand

  • Wrist disarticulation

  • Transradial (below elbow)

  • Elbow disarticulation

  • Transhumeral (above elbow)

Lower extremity amputations

  • Transtibial (below knee amputation or BKA)

  • Knee diarticulation

  • Transfemoral (above knee amputation or AKA)

What are common reasons to be seen?

  • Problems at the residual limb (“amputation stump”):

    • Pain

    • Neuroma

    • Phantom limb pain

    • Skin or soft tissue irritation

    • Socket fit problems

    • Bony prominences

  • Surgical optimization for prosthetics

  • Evaluation for modern and innovative amputation surgical services

  • Evaluation for scheduled or “elective” amputation

  • Salvage of a threatened limb or digit

What procedures and services are offered?

  • Modern peripheral nerve management techniques

  • Amputation site revision

    • Skin and soft tissue such as “thigh lift” or “thigh plasty”

    • Bony prominences

    • Shortening for prosthetic optimization

  • Microvascular tissue transplantion or “free flap” surgery

  • Early referrals and coordination with hand, occupational, and physical therapy

  • Early referrals and coordination with prosthetics

Upper extremity prosthetics options

(NOTE: This is a non-comprehensive list and is meant for education purposes. Prosthetics options and decision-making is a personalized process for each individual that occurs in coordination with the surgeon, prosthetist, and hand therapist.)

We Look Forward to Seeing You

Thank you for the privilege of entrusting your care in our hands